SUSHANT KOIRALA MD
NPI 1194464636
Internal Medicine - Cardiovascular Disease in Saint Louis, MO

Active since June 02, 2022PECOS Enrolled
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sushant Koirala Md NPPES

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

SUSHANT KOIRALA MD (NPI 1194464636) is an individual cardiovascular disease provider in Saint Louis, Missouri, licensed in Missouri (2025019764) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194464636
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSUSHANT KOIRALACredential: MD
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1201 S Grand BlvdSaint Louis, MO 63104-1016 · (312) 942-5000
Sole ProprietorNo
Enumeration DateJune 2, 2022
Last NPPES UpdateJune 24, 2025
NPPES CertifiedJune 5, 2025
NPI 1194464636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MO · 2025019764
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1201 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sushant Koirala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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.

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.

Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Physician Assistant
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Sushant Koirala's NPI number?

The NPI number for Sushant Koirala is 1194464636. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Sushant Koirala located?

Sushant Koirala practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 257-8000.

What is Sushant Koirala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sushant Koirala enrolled in Medicare?

Yes. Sushant Koirala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sushant Koirala was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.