DR. SHESHA KALYAN KATAKAM MD, MPH
NPI 1578720439
Pediatrics in Ferguson, MO

Active since May 19, 2008PECOS Enrolled
3878 PERSHALL RD, FERGUSON, MO 63135(314) 839-7500 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2023, Sep 16, 2020, Aug 13, 2020 (3 updates tracked since 2020).

About Dr. Shesha Kalyan Katakam Md, Mph NPPES

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

DR. SHESHA KALYAN KATAKAM MD, MPH (NPI 1578720439) is an individual pediatrics provider in Ferguson, Missouri, licensed in Indiana (01073004A) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in La Porte.

NPPES Registry Identity

NPI1578720439
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SHESHA KALYAN KATAKAMCredential: MD, MPH
Location Address3878 PERSHALL RDFerguson, MO 63135-1246
Mailing Address1509 State StLa Porte, IN 46350-3115 · (219) 324-3431 · Fax (219) 362-3802
Sole ProprietorNo
Enumeration DateMay 19, 2008
Last NPPES UpdateJanuary 20, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1578720439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01073004A✔ Licensed in LA · MD.202228
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3878 PERSHALL RD, Ferguson, MO 63135

Secondary Practice Location 1

Location 11509 State StLA Porte, IN 46350-3115 · Phone (219) 324-3431 · Fax (219) 362-3802

Other Identifiers 3

Other000000833441IN · Anthem Bcbs
Other151020017IN · Medicare Ptan
Medicaid201188170IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shesha Kalyan Katakam Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shesha Katakam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1011 BOWLES AVE, SUITE 300
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63135 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
$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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3878 PERSHALL RD
FERGUSON, MO 63135
Pediatrics
3878 PERSHALL RD
FERGUSON, MO 63135
Pediatrics
3878 PERSHALL RD
FERGUSON, MO 63135
Pediatrics
3878 PERSHALL RD
FERGUSON, MO 63135

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 Shesha Katakam's NPI number?

The NPI number for Shesha Katakam is 1578720439. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Shesha Katakam located?

Shesha Katakam practices at 3878 Pershall Rd, Ferguson, MO 63135. The listed phone number is (314) 839-7500.

What is Shesha Katakam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shesha Katakam enrolled in Medicare?

Yes. Shesha Katakam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shesha Katakam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shesha Katakam 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 Shesha Katakam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shesha Katakam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Shesha Katakam 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.

When was this NPI record last updated?

The NPPES record for Shesha Katakam was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.