1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Internal Medicine
  6. NPI Profile

KIRANKUMAR AMRUTLAL PRAJAPATI
NPI 1205193034
Internal Medicine in Saint Louis, MO

Active since April 18, 2012PECOS EnrolledAccepts Medicare Assignment
81.06/100
CMS Quality Rating
6420 CLAYTON ROAD, ST.MARY'S HEALTH CENTER,DEPARTMENT OF INTERNAL MEDICINE, SAINT LOUIS, MO 63117(314) 768-8778 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kirankumar Amrutlal Prajapati NPPES

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

KIRANKUMAR AMRUTLAL PRAJAPATI (NPI 1205193034) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Louisiana (MD.207850) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205193034
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKIRANKUMAR AMRUTLAL PRAJAPATI
Location Address6420 CLAYTON ROAD, ST.MARY'S HEALTH CENTER,DEPARTMENT OF INTERNAL MEDICINESaint Louis, MO 63117
Mailing Address6420 Clayton Road, St.mary's Health Center,department Of Internal MedicineSaint Louis, MO 63117 · (314) 768-8778
Phone(314) 768-8778
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 18, 2012
Last NPPES UpdateJuly 7, 2016
✔ NPI 1205193034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · MD.207850
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6420 CLAYTON ROAD, Saint Louis, MO 63117
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HMO Louisiana.Insurance ›

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

Kirankumar Amrutlal Prajapati 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 ID3779899406
PECOS Enrollment IDI20180905000587
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.

Areas of Expertise CMS Part B claims 5

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.

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.
642 services265 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
425 services185 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
237 services226 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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.

81.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.41
Improvement Activities40
Cost59.79

Reported Quality Measures

Advance Care Plan
100%493 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%99 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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$64.82 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 20

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

MR. BASANTA SUBEDI MD
Hospitalist
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8000
AKRITI KHADGA MBBS, MD
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPT OF INTERNAL MEDICINE 2ND FLOOR
ST. LOUIS, MO 63117
St. Louis County (314) 768-8778
ASLANBI TEZEKBAY M.D.
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPARTMENT OF INTERNAL MEDICINE, SSM HEALTH ST. MARY'S
ST LOUIS, MO 63117
St. Louis County (314) 768-8778
JEFFREY OWEN BRAY DO
Anesthesiology
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442
MR. ASHUTOSH UPADHYAYA M.B.B.S
Student in an Organized Health Care Education/Training Program
6420 CLAYTON ROAD, DEPT. OF INTERNAL MEDICINE 2ND FLOOR
ST. LOUIS, MO 63117
St. Louis County (314) 768-8778
MS. MARIE FLORETTA CRNA
Nurse Anesthetist, Certified Registered
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442
KUMIKO SHIMODA MD
Anesthesiology
6420 CLAYTON ROAD
ST LOUIS, MO 63117
St. Louis County (314) 768-8442
DIVYA MOTKUR M.D.
Internal Medicine
6420 CLAYTON ROAD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 968-8374

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 Kirankumar Prajapati's NPI number?

The NPI number for Kirankumar Prajapati is 1205193034. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Kirankumar Prajapati located?

Kirankumar Prajapati practices at 6420 Clayton Road St.Mary's Health Center,department Of Internal Medicine, Saint Louis, MO 63117. The listed phone number is (314) 768-8778.

What is Kirankumar Prajapati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kirankumar Prajapati enrolled in Medicare?

Yes. Kirankumar Prajapati 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.

What insurance does Kirankumar Prajapati accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Kirankumar Prajapati 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 Kirankumar Prajapati affiliated with any hospitals?

According to CMS data, Kirankumar Prajapati is affiliated with St David's Medical Center and Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Kirankumar Prajapati was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.