JAYPRAKASH V PATEL MD
NPI 1124086541
Urology in Saint Louis, MO

Q: What is Jayprakash Patel's NPI number?

The NPI number for Jayprakash Patel is 1124086541. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Jayprakash Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Jayprakash Patel was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment

10296 BIG BEND RD, SUITE 205, SAINT LOUIS, MO 63122(314) 315-9911 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jayprakash V Patel Md NPPES

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

JAYPRAKASH V PATEL MD (NPI 1124086541) is an individual urology provider in Saint Louis, Missouri, licensed in Missouri (R9H43) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Southern Illinois University School Of Medicine (1986).

NPPES Registry Identity

NPI1124086541

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJAYPRAKASH V PATELCredential: MD

Location Address10296 BIG BEND RD, SUITE 205Saint Louis, MO 63122

Mailing Address215 Dunn RdFlorissant, MO 63031-7928 · (314) 315-9913 · Fax (314) 872-8069

Phone(314) 315-9911

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1986

Enumeration DateMay 3, 2006

Last NPPES UpdateAugust 23, 2018

✔ NPI 1124086541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MO · R9H43

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

10296 BIG BEND RD, Saint Louis, MO 63122

Open in Google Maps ↗

Other Identifiers 2

OtherP00195682MO · Palmetto Rr Medicare

Medicaid753364900MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jayprakash V Patel Md 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 ID8527017490

PECOS Enrollment IDI20251030004494, I20260416003780, I20260511003056

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.

Medicare Billing Reassignments

Medicare enrollment records show Jayprakash Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Tennessee Medical Group Inc

220 mi

Internal Medicine

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
242 clinicians in this Medicare group

NPI 1053615955 (731) 660-8730

Baptist Health Medical Group Inc

300 mi

Internal Medicine

1001 LEAWOOD DR
Frankfort, KY 40601

Reassigned Medicare billing, Kentucky enrollment
999 clinicians in this Medicare group

NPI 1629740774 (502) 223-0231

The Metrohealth System

503 mi

Multi-Specialty

2500 METROHEALTH DR
Cleveland, OH 44109

Reassigned Medicare billing, Ohio enrollment
2,147 clinicians in this Medicare group

NPI 1053353896 (216) 957-2442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

466 services370 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

425 services312 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

283 services254 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

102 services81 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

78 services72 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

63 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

37 services36 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

36 services36 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

36 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services27 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

25 services25 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

23 services16 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

23 services23 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260077

Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County

Emergency services

Metrohealth System

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360059

Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County

Emergency services Birthing friendly

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 100% · 58 patients

100%62 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%620 patients5/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

100%121 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers18 claims2,842 services$1.74 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers16 claims2,693 services$6.19 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$6.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

LAURENCE D GELSTEIN MD

Urology

10296 BIG BEND RD, SUITE 205
KIRKWOOD, MO 63122

St. Louis County (314) 315-9911

GATEWAY ANESTHESIA GROUP LLC

Anesthesiology

10296 BIG BEND RD
SAINT LOUIS, MO 63122

St. Louis County (314) 735-0200

ELLIS DENTAL LLC

Clinic/Center (Dental)

10296 BIG BEND RD, SUITE 207
SAINT LOUIS, MO 63122

St. Louis County (314) 965-1334

MICHAEL MARCUS MD

Urology

10296 BIG BEND RD, SUITE 205
SAINT LOUIS, MO 63122

St. Louis County (314) 315-9911

ROBERT FEIT MD

Urology

10296 BIG BEND RD, SUITE 205
KIRKWOOD, MO 63122

St. Louis County (314) 315-9911

MICHAEL G DE LA PAZ MD

Urology

10296 BIG BEND RD, SUITE 205
SAINT LOUIS, MO 63122

St. Louis County (314) 315-9911

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 Jayprakash Patel's NPI number?

The NPI number for Jayprakash Patel is 1124086541. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Jayprakash Patel located?

Jayprakash Patel practices at 10296 Big Bend Rd Suite 205, Saint Louis, MO 63122. The listed phone number is (314) 315-9911.

What is Jayprakash Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jayprakash Patel enrolled in Medicare?

Yes. Jayprakash Patel 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.

Which organizations bill Medicare for Jayprakash Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jayprakash Patel reassigns Medicare benefits to 3 organizations: West Tennessee Medical Group Inc (Jackson, TN), Baptist Health Medical Group Inc (Frankfort, KY) and The Metrohealth System (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jayprakash Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jayprakash Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare, HealthPartners and MedMutual and 1 other insurer list Jayprakash Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jayprakash Patel affiliated with any hospitals?

According to CMS data, Jayprakash Patel is affiliated with Baptist Health Corbin, Mercy Hospital South, Metrohealth System and Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Jayprakash Patel was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.