DR. JYOTSANA SINHA M.D.
NPI 1316259799
Internal Medicine - Hematology & Oncology in Saint Louis, MO
About Dr. Jyotsana Sinha M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JYOTSANA SINHA M.D. (NPI 1316259799) is an individual hematology & oncology provider in Saint Louis, Missouri, licensed in Missouri (2016014709) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Jyotsana Sinha M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jyotsana Sinha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 697 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm St Clare Health Center
Acute Care Hospitals · Fenton, MOSsm Health St Mary's Hospital - St Louis
Acute Care Hospitals · Richmond Heights, MOPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63117
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 Jyotsana Sinha's NPI number?
The NPI number for Jyotsana Sinha is 1316259799. It was assigned to this individual provider in the NPPES registry on July 13, 2010.
Where is Jyotsana Sinha located?
Jyotsana Sinha practices at 6400 Clayton Rd Ste 212, Saint Louis, MO 63117. The listed phone number is (314) 645-3432.
What is Jyotsana Sinha's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Jyotsana Sinha enrolled in Medicare?
Yes. Jyotsana Sinha 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 organization bills Medicare for Jyotsana Sinha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jyotsana Sinha reassigns Medicare benefits to Ssm Medical Group, Inc. (Fenton, MO). The 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 Jyotsana Sinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jyotsana Sinha accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica and Oscar Insurance Company list Jyotsana Sinha 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 Jyotsana Sinha affiliated with any hospitals?
According to CMS data, Jyotsana Sinha is affiliated with Ssm St Clare Health Center and Ssm Health St Mary's Hospital - St Louis.
When was this NPI record last updated?
The NPPES record for Jyotsana Sinha was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jyotsana Sinha, M.D. · NPI 1316259799
Hematology & Oncology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 13, 2010.
## Identity
- **NPI:** 1316259799 (Entity type: Individual)
- **Enumerated:** July 13, 2010
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** 2016014709 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6400 CLAYTON RD STE 212, Saint Louis, MO 63117-1850
- **Phone:** (314) 645-3432
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ssm Medical Group, Inc. (NPI 1700966207, Fenton, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** November 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1316259799) · Data from the CMS NPPES public registry.