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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAVIPRIYA KOMESWARAN
NPI 1003267634
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-2000 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Aug 26, 2022, Jun 24, 2016 (3 updates tracked since 2016).

About Kavipriya Komeswaran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAVIPRIYA KOMESWARAN (NPI 1003267634) is an individual pediatric critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (2026027959) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003267634
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameKAVIPRIYA KOMESWARAN
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-2005 · Fax (601) 815-0434
Phone(314) 617-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2016
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1003267634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in MO · 2026027959✔ Licensed in MS · 30089
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 125.069376 (IL)
1465 S GRAND BLVD, Saint Louis, MO 63104
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Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 815-2005 · Fax (601) 815-0434

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kavipriya Komeswaran is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840584025
PECOS Enrollment IDI20220705001354
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070
ALEJANDRA LOPEZ VALLEJOS M.D.
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kavipriya Komeswaran's NPI number?

The NPI number for Kavipriya Komeswaran is 1003267634. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Kavipriya Komeswaran located?

Kavipriya Komeswaran practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 617-2000.

What is Kavipriya Komeswaran's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kavipriya Komeswaran enrolled in Medicare?

Yes. Kavipriya Komeswaran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kavipriya Komeswaran was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.