DR. PRAVESH P DEOTALE M.D
NPI 1710275110
Psychiatry & Neurology - Child & Adolescent Psychiatry in Festus, MO
About Dr. Pravesh P Deotale M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRAVESH P DEOTALE M.D (NPI 1710275110) is an individual child & adolescent psychiatry provider in Festus, Missouri, licensed in Missouri (2015036367) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
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. Pravesh P Deotale 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.
Medicare Billing Reassignments
8Medicare enrollment records show Pravesh Deotale reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 299 clinicians in this Medicare group
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 32 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
- 340 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 28 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 13 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 326 clinicians in this Medicare group
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 261 clinicians in this Medicare group
Perryville, MO 63775
- Reassigned Medicare billing, Missouri enrollment
- 192 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.
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.
CRYSTAL CTY, MO 63028
CRYSTAL CTY, MO 63028
FESTUS, MO 63028
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 Pravesh Deotale's NPI number?
The NPI number for Pravesh Deotale is 1710275110. It was assigned to this individual provider in the NPPES registry on July 19, 2011.
Where is Pravesh Deotale located?
Pravesh Deotale practices at 1420 Us Highway 61, Festus, MO 63028. The listed phone number is (636) 543-2230.
What is Pravesh Deotale's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Pravesh Deotale enrolled in Medicare?
Yes. Pravesh Deotale 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 Pravesh Deotale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pravesh Deotale reassigns Medicare benefits to 8 organizations: Mercy Clinic Adult Hospitalists- Jefferson, LLC (Festus, MO), Mercy Clinic Adult Psychiatry, LLC (Festus, MO), St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO), Mercy East Support Services, LLC (Saint Louis, MO), Mercy Clinic Child And Adolescent Psychiatry, LLC (Saint Louis, MO) and 3 more organizations, listed in the Medicare section above. 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 Pravesh Deotale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pravesh Deotale 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 6 other insurers list Pravesh Deotale 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 Pravesh Deotale was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Pravesh P Deotale, M.D · NPI 1710275110
Child & Adolescent Psychiatry physician in Festus, Missouri. Individual provider, active in the CMS NPPES registry since July 19, 2011.
## Identity
- **NPI:** 1710275110 (Entity type: Individual)
- **Enumerated:** July 19, 2011
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 2015036367 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1420 US HIGHWAY 61, Festus, MO 63028-4108
- **Phone:** (636) 543-2230
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Adult Hospitalists- Jefferson, LLC (NPI 1083052492, Festus, MO); Mercy Clinic Adult Psychiatry, LLC (NPI 1750788972, Festus, MO); St Anthonys Physician Organization Hospitalist Services, L.C. (NPI 1407216336, Saint Louis, MO); Mercy East Support Services, LLC (NPI 1225382013, Saint Louis, MO); Mercy Clinic Child And Adolescent Psychiatry, LLC (NPI 1265562300, Saint Louis, MO); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** April 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710275110) · Data from the CMS NPPES public registry.