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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.

DR. KRYSTAL ALEXIS DEPORTO MD
NPI 1245867639
Urology in Saint Louis, MO

Active since March 25, 2020PECOS Enrolled
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG UROLOGY, SAINT LOUIS, MO 63110(314) 362-8200(314) 454-5244 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Jun 4, 2026, Dec 6, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Krystal Alexis Deporto Md NPPES

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

DR. KRYSTAL ALEXIS DEPORTO MD (NPI 1245867639) is an individual urology provider in Saint Louis, Missouri, licensed in Missouri (2026010465) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2020).

NPPES Registry Identity

NPI1245867639
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. KRYSTAL ALEXIS DEPORTOCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV SURG UROLOGYSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-8200 · Fax (314) 454-5244
Phone(314) 362-8200
Fax(314) 454-5244
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1245867639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MO · 2026010465
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.
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Krystal Alexis Deporto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628466687
PECOS Enrollment IDI20260612001998, I20260615000897
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 63110 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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373
MS. KELSEY ELISE FOGUS CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980

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 Krystal Deporto's NPI number?

The NPI number for Krystal Deporto is 1245867639. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Krystal Deporto located?

Krystal Deporto practices at 1 Barnes Jewish Hospital Plz Div Surg Urology, Saint Louis, MO 63110. The listed phone number is (314) 362-8200.

What is Krystal Deporto's specialty?

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

Is Krystal Deporto enrolled in Medicare?

Yes. Krystal Deporto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krystal Deporto was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.