DR. PEGAH KHOSHPOURI MD
NPI 1477177640
Radiology - Diagnostic Radiology in Saint Louis, MO
About Dr. Pegah Khoshpouri Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PEGAH KHOSHPOURI MD (NPI 1477177640) is an individual diagnostic radiology provider in Saint Louis, Missouri, licensed in Missouri (2025026898) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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. Pegah Khoshpouri 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.
Medicare Billing Reassignments
2Medicare enrollment records show Pegah Khoshpouri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 373 clinicians in this Medicare group
Rolla, MO 65401
- Reassigned Medicare billing, Missouri enrollment
- 347 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Barnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOMissouri Baptist Medical Center
Acute Care Hospitals · Town And Country, MOBarnes-Jewish West County Hospital
Acute Care Hospitals · Creve Coeur, MOChristian Hospital Northeast
Acute Care Hospitals · Saint Louis, MOPhysician 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.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Pegah Khoshpouri's NPI number?
The NPI number for Pegah Khoshpouri is 1477177640. It was assigned to this individual provider in the NPPES registry on June 3, 2020.
Where is Pegah Khoshpouri located?
Pegah Khoshpouri practices at 510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110. The listed phone number is (314) 362-7200.
What is Pegah Khoshpouri's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Pegah Khoshpouri enrolled in Medicare?
Yes. Pegah Khoshpouri 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 Pegah Khoshpouri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pegah Khoshpouri reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and Miracl, LLC (Rolla, MO). 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 Pegah Khoshpouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Pegah Khoshpouri affiliated with any hospitals?
According to CMS data, Pegah Khoshpouri is affiliated with Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and Christian Hospital Northeast.
When was this NPI record last updated?
The NPPES record for Pegah Khoshpouri was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Pegah Khoshpouri, MD · NPI 1477177640
Diagnostic Radiology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 3, 2020.
## Identity
- **NPI:** 1477177640 (Entity type: Individual)
- **Enumerated:** June 3, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 2025026898 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, Saint Louis, MO 63110-1016
- **Phone:** (314) 362-7200 · **Fax:** (314) 747-4189
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1962442475, Saint Louis, MO); Miracl, LLC (NPI 1205304300, Rolla, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477177640) · Data from the CMS NPPES public registry.