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DR. JOSHY THOMAS PATHIPARAMPIL M.D.
NPI 1801216551
Internal Medicine - Rheumatology in Saint Louis, MO

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
13100 MANCHESTER RD STE 70, SAINT LOUIS, MO 63131(314) 492-2323(314) 582-1010 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2024, Jul 14, 2023, Sep 11, 2019 (3 updates tracked since 2019).

About Dr. Joshy Thomas Pathiparampil M.d. NPPES

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

DR. JOSHY THOMAS PATHIPARAMPIL M.D. (NPI 1801216551) is an individual rheumatology provider in Saint Louis, Missouri, licensed in Missouri (2019017097) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1801216551
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JOSHY THOMAS PATHIPARAMPILCredential: M.D.
Location Address13100 MANCHESTER RD STE 70Saint Louis, MO 63131-1703
Mailing Address13100 Manchester Rd Ste 70Saint Louis, MO 63131-1703 · (314) 492-2323 · Fax (314) 582-1010
Phone(314) 492-2323
Fax(314) 582-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 21, 2014
Last NPPES UpdateFebruary 14, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1801216551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MO · 2019017097
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
13100 MANCHESTER RD STE 70, Saint Louis, MO 63131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. Joshy Thomas Pathiparampil 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.

PECOS PAC ID6901135193
PECOS Enrollment IDI20190913000802
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 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.

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.
157 services89 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN CHRISTINE SANDERSON
Nurse Practitioner
13100 MANCHESTER RD STE 70
SAINT LOUIS, MO 63131
St. Louis County (314) 492-2323
WEST COUNTY RHEUMATOLOGY, LLC
Internal Medicine (Rheumatology)
13100 MANCHESTER RD STE 70
SAINT LOUIS, MO 63131
St. Louis County (314) 492-2323
DR. SONA KAMAT M.D.
Internal Medicine (Rheumatology)
13100 MANCHESTER RD STE 70
SAINT LOUIS, MO 63131
St. Louis County (314) 492-2323
AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES - MO LLC
Non-Pharmacy Dispensing Site
13100 MANCHESTER RD STE 70
SAINT LOUIS, MO 63131
St. Louis County (314) 492-2323
DR. VIJAY KANNUTHURAI MD
Internal Medicine (Rheumatology)
13100 MANCHESTER RD STE 70
SAINT LOUIS, MO 63131
St. Louis County (314) 492-2323
LORETA SHAHINAJ NP
Nurse Practitioner
13100 MANCHESTER RD STE 70
SAINT LOUIS, MO 63131
St. Louis County (314) 492-2323

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 Joshy Pathiparampil's NPI number?

The NPI number for Joshy Pathiparampil is 1801216551. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Joshy Pathiparampil located?

Joshy Pathiparampil practices at 13100 Manchester Rd Ste 70, Saint Louis, MO 63131. The listed phone number is (314) 492-2323.

What is Joshy Pathiparampil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Joshy Pathiparampil enrolled in Medicare?

Yes. Joshy Pathiparampil 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.

What insurance does Joshy Pathiparampil accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Joshy Pathiparampil 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 Joshy Pathiparampil affiliated with any hospitals?

According to CMS data, Joshy Pathiparampil is affiliated with Good Samaritan Regional Hlth Center, Northwestern Medicine Central Dupage Hospital, Mercy Hospital St Louis, Mercy Hospital South and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Joshy Pathiparampil was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.