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DR. PEGAH KHOSHPOURI MD
NPI 1477177640
Radiology - Diagnostic Radiology in Saint Louis, MO

Active since June 03, 2020PECOS EnrolledAccepts Medicare Assignment
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110(314) 362-7200(314) 747-4189 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2022, Jan 28, 2022, Oct 5, 2021 and 2 more (5 updates tracked since 2020).

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

NPI1477177640
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PEGAH KHOSHPOURICredential: MD
Location Address510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGYSaint Louis, MO 63110-1016
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7200 · Fax (314) 747-4189
Phone(314) 362-7200
Fax(314) 747-4189
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 3, 2020
Last NPPES UpdateJuly 18, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1477177640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MO · 2025026898
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
510 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110
Open in Google Maps ↗

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

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.

PECOS PAC ID5698171577
PECOS Enrollment IDI20250710002612
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.

Hospital Affiliations CMS Care Compare 3

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

BENJAMIN LEE MD
Radiology (Neuroradiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7092
DR. ADRIAN ALBERTO SANCHEZ MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. ZIAD WALID TARCHA MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. JAMES EDWARD KELLY MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. JOSHUA S SHIMONY MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
RASHID FUAD AL-SUKAITI MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7092
DR. ANDREW THOMAS GREER MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. GHAZAL SHADMANI MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200

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.

Is Pegah Khoshpouri affiliated with any hospitals?

According to CMS data, Pegah Khoshpouri is affiliated with Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

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 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.