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DR. SHANTHI KUMAR M.D.
NPI 1497710651
Internal Medicine in Chesterfield, MO

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
89.23/100
CMS Quality Rating
222 S WOODS MILL RD, SUITE 630, CHESTERFIELD, MO 63017(314) 878-4141(314) 878-4853 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shanthi Kumar M.d. NPPES

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

DR. SHANTHI KUMAR M.D. (NPI 1497710651) is an individual internal medicine provider in Chesterfield, Missouri, licensed in Missouri (103359) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1497710651
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHANTHI KUMARCredential: M.D.
Location Address222 S WOODS MILL RD, SUITE 630Chesterfield, MO 63017-3625
Mailing Address222 S Woods Mill Rd, Suite 630Chesterfield, MO 63017-3625 · (314) 878-4141 · Fax (314) 878-4853
Phone(314) 878-4141
Fax(314) 878-4853
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateApril 19, 2006
Last NPPES UpdateDecember 18, 2007
✔ NPI 1497710651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 103359
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.
222 S WOODS MILL RD, Chesterfield, MO 63017
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Other Identifiers 1

Medicare UPING36774MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Dr. Shanthi Kumar 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.

PECOS PAC ID6608809108
PECOS Enrollment IDI20050915000208
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services160 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
50 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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.

89.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.14
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers17 claims42 services$6.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers13 claims17 services$1.13 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$37.59 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.

MS. KIMBERLY C GRUNZINGER MSN, RN, ACNS-BC
Clinical Nurse Specialist (Adult Health)
222 S WOODS MILL RD, SUITE 480 N
CHESTERFIELD, MO 63017
St. Louis County (314) 576-7343
RACHEL LYNN FISHMAN OIKNINE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017
St. Louis County (314) 469-6224
MARYLAND MEDICAL GROUP LTD
Internal Medicine
222 S WOODS MILL RD, SUITE 350N
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6557
MARIA THERESA WEIR
Nurse Practitioner (Adult Health)
222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017
St. Louis County (314) 469-6224
JOHN BEST MD
Internal Medicine (Pulmonary Disease)
222 S WOODS MILL RD, SUITE 310 NORTH
CHESTERFIELD, MO 63017
St. Louis County (314) 576-6700
WEST COUNTY OPHTHALMOLOGY, INC
Ophthalmology
222 S WOODS MILL RD, SUITE 660N
CHESTERFIELD, MO 63017
St. Louis County (314) 878-9902
TARISAI SHARON NYAHODA MD
Internal Medicine (Geriatric Medicine)
222 S WOODS MILL RD
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6050
ZOE LEYH DO
Internal Medicine (Infectious Disease)
222 S WOODS MILL RD
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6050

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 Shanthi Kumar's NPI number?

The NPI number for Shanthi Kumar is 1497710651. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Shanthi Kumar located?

Shanthi Kumar practices at 222 S Woods Mill Rd Suite 630, Chesterfield, MO 63017. The listed phone number is (314) 878-4141.

What is Shanthi Kumar's specialty?

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

Is Shanthi Kumar enrolled in Medicare?

Yes. Shanthi Kumar 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 Shanthi Kumar accept?

Health plans from UnitedHealthcare list Shanthi Kumar 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 Shanthi Kumar affiliated with any hospitals?

According to CMS data, Shanthi Kumar is affiliated with Mercy Hospital St Louis and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Shanthi Kumar was last updated on December 18, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.