DR. REENA GURUNG MD
NPI 1578819249
Internal Medicine - Nephrology in Saint Louis, MO

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 BARNES JEWISH HOSPITAL PLZ, DIV IM NEPHROLOGY, SAINT LOUIS, MO 63110(314) 362-7603(314) 747-5213 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 5 more (8 updates tracked since 2015).

About Dr. Reena Gurung Md NPPES

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

DR. REENA GURUNG MD (NPI 1578819249) is an individual nephrology provider in Saint Louis, Missouri, licensed in Missouri (2015021626) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1578819249
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. REENA GURUNGCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV IM NEPHROLOGYSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7603 · Fax (314) 747-5213
Fax(314) 747-5213
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 31, 2012
Last NPPES UpdateApril 17, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2020
NPI 1578819249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MO · 2015021626
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2015021626 (MO)
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200023381MO

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. Reena Gurung 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 ID5395983001
PECOS Enrollment IDI20150722006201
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
173 services76 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
135 services37 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
84 services47 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
62 services19 patients
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.
46 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

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

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · 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
$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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Anesthesiology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Internal Medicine (Cardiovascular Disease)
1 BARNES JEWISH HOSPITAL PLZ, EAST PAVILLION SUITE 16419
SAINT LOUIS, MO 63110
Anesthesiology
1 BARNES JEWISH HOSPITAL PLZ
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 Reena Gurung's NPI number?

The NPI number for Reena Gurung is 1578819249. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Reena Gurung located?

Reena Gurung practices at 1 Barnes Jewish Hospital Plz Div Im Nephrology, Saint Louis, MO 63110. The listed phone number is (314) 362-7603.

What is Reena Gurung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Reena Gurung enrolled in Medicare?

Yes. Reena Gurung 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 Reena Gurung affiliated with any hospitals?

According to CMS data, Reena Gurung is affiliated with Alton Memorial Hospital, 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 Reena Gurung was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.