PRAJAKTA MUNGIKAR MD
NPI 1790109247
Internal Medicine in Saint Peters, MO
About Prajakta Mungikar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAJAKTA MUNGIKAR MD (NPI 1790109247) is an individual internal medicine provider in Saint Peters, Missouri, licensed in Missouri (2017031878) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Other (2007).
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
Prajakta Mungikar 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 Reassignment
Medicare enrollment records show Prajakta Mungikar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arnold, MO 63010
- Reassigned Medicare billing, Missouri enrollment
- 11 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital South
Acute Care Hospitals · 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 19
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
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 Prajakta Mungikar's NPI number?
The NPI number for Prajakta Mungikar is 1790109247. It was assigned to this individual provider in the NPPES registry on February 4, 2014.
Where is Prajakta Mungikar located?
Prajakta Mungikar practices at 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376. The listed phone number is (636) 916-9615.
What is Prajakta Mungikar's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prajakta Mungikar enrolled in Medicare?
Yes. Prajakta Mungikar 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 organization bills Medicare for Prajakta Mungikar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prajakta Mungikar reassigns Medicare benefits to Medwin Primary Care L.L.C. (Arnold, 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 Prajakta Mungikar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prajakta Mungikar accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Prajakta Mungikar 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 Prajakta Mungikar affiliated with any hospitals?
According to CMS data, Prajakta Mungikar is affiliated with Mercy Hospital South.
When was this NPI record last updated?
The NPPES record for Prajakta Mungikar was last updated on August 22, 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.
# Prajakta Mungikar, MD · NPI 1790109247
Internal Medicine physician in Saint Peters, Missouri. Individual provider, active in the CMS NPPES registry since February 4, 2014.
## Identity
- **NPI:** 1790109247 (Entity type: Individual)
- **Enumerated:** February 4, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2017031878 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 BJC SAINT PETERS DR STE 200, Saint Peters, MO 63376
- **Phone:** (636) 916-9615 · **Fax:** (636) 916-9850
## 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:** Medwin Primary Care L.L.C. (NPI 1376552067, Arnold, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** August 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1790109247) · Data from the CMS NPPES public registry.