DR. POOJA PATIL MD
NPI 1659457000
Internal Medicine - Critical Care Medicine in Saint Peters, MO
About Dr. Pooja Patil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. POOJA PATIL MD (NPI 1659457000) is an individual critical care medicine provider in Saint Peters, Missouri, licensed in Missouri (2006031516) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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. Pooja Patil 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
4Medicare enrollment records show Pooja Patil reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Charles, MO 63301
- Reassigned Medicare billing, Missouri enrollment
- 741 clinicians in this Medicare group
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 10 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 255 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Missouri enrollment
- 193 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm St Joseph Health Center
Acute Care Hospitals · Saint Charles, MOSsm St Joseph Hospital West
Acute Care Hospitals · Lake Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63376 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 PETERS, MO 63376
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
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 Pooja Patil's NPI number?
The NPI number for Pooja Patil is 1659457000. It was assigned to this individual provider in the NPPES registry on October 28, 2006.
Where is Pooja Patil located?
Pooja Patil practices at 10 Hospital Dr, Saint Peters, MO 63376. The listed phone number is (314) 747-3581.
What is Pooja Patil's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Pooja Patil enrolled in Medicare?
Yes. Pooja Patil 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 Pooja Patil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Patil reassigns Medicare benefits to 4 organizations: Ssm Health Care St. Louis (Saint Charles, MO), Ria Medical, LLC (Wentzville, MO), Cogent Healthcare Of Missouri, Inc (Fenton, MO) and Southeastern Physician Services PC (Oak Ridge, TN). 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 Pooja Patil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pooja Patil 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 3 other insurers list Pooja Patil 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 Pooja Patil affiliated with any hospitals?
According to CMS data, Pooja Patil is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.
When was this NPI record last updated?
The NPPES record for Pooja Patil was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Pooja Patil, MD · NPI 1659457000
Critical Care Medicine physician in Saint Peters, Missouri. Individual provider, active in the CMS NPPES registry since October 28, 2006.
## Identity
- **NPI:** 1659457000 (Entity type: Individual)
- **Enumerated:** October 28, 2006
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 2006031516 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 HOSPITAL DR, Saint Peters, MO 63376-1659
- **Phone:** (314) 747-3581 · **Fax:** (314) 747-1710
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care St. Louis (NPI 1427002922, Saint Charles, MO); Ria Medical, LLC (NPI 1174615025, Wentzville, MO); Cogent Healthcare Of Missouri, Inc (NPI 1780961599, Fenton, MO); Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** May 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1659457000) · Data from the CMS NPPES public registry.