KRISTINA RADOULOVA M.D.
NPI 1720287089
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Louis, MO
About Kristina Radoulova M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA RADOULOVA M.D. (NPI 1720287089) is an individual child & adolescent psychiatry provider in Saint Louis, Missouri, licensed in Missouri (2009005467) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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)
Kristina Radoulova M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Radoulova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 13 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Kristina Radoulova's NPI number?
The NPI number for Kristina Radoulova is 1720287089. It was assigned to this individual provider in the NPPES registry on July 16, 2007.
Where is Kristina Radoulova located?
Kristina Radoulova practices at 621 S New Ballas Rd Ste 693A, Saint Louis, MO 63141. The listed phone number is (314) 251-6898.
What is Kristina Radoulova's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Kristina Radoulova enrolled in Medicare?
Yes. Kristina Radoulova is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristina Radoulova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Radoulova reassigns Medicare benefits to Mercy Clinic Child And Adolescent Psychiatry, LLC (Saint Louis, 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 Kristina Radoulova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Radoulova 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 Kristina Radoulova 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 Kristina Radoulova was last updated on March 17, 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.
# Kristina Radoulova, M.D. · NPI 1720287089
Child & Adolescent Psychiatry physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 16, 2007.
## Identity
- **NPI:** 1720287089 (Entity type: Individual)
- **Enumerated:** July 16, 2007
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 2009005467 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 621 S NEW BALLAS RD STE 693A, Saint Louis, MO 63141-8263
- **Phone:** (314) 251-6898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Child And Adolescent Psychiatry, LLC (NPI 1265562300, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Medicaid 1720287089 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1720287089) · Data from the CMS NPPES public registry.