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DR. KURTIS TODD SOBUSH M. D.
NPI 1821297490
Pediatrics - Pediatric Pulmonology in St. Louis, MO

Active since July 13, 2007PECOS Enrolled
81.57/100
CMS Quality Rating
1465 S GRAND BLVD, ST. LOUIS, MO 63104(314) 268-6439(314) 268-2798 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2021, Apr 17, 2019, Apr 11, 2019 (3 updates tracked since 2019).

About Dr. Kurtis Todd Sobush M. D. NPPES

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

DR. KURTIS TODD SOBUSH M. D. (NPI 1821297490) is an individual pediatric pulmonology provider in St. Louis, Missouri, licensed in Missouri (2011025418) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821297490
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. KURTIS TODD SOBUSHCredential: M. D.
Location Address1465 S GRAND BLVDSt. Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 268-6439 · Fax (314) 268-2798
Phone(314) 268-6439
Fax(314) 268-2798
Sole ProprietorNo
Enumeration DateJuly 13, 2007
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1821297490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in MO · 2011025418
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatricsTaxonomy 208000000X · License 2011025418 (MO)
1465 S GRAND BLVD, St. Louis, MO 63104
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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 Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kurtis Todd Sobush M. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kurtis Sobush reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group
0.2 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100
Saint Francis Medical Center
59 mi
Rural Health
515 MAPLE VALLEY DR
Farmington, MO 63640
  • Reassigned Medicare billing, Missouri enrollment
  • 595 clinicians in this Medicare group
NPI 1013585561 (573) 760-7920

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
MS. MASHAL AZIZ RANA MBBS
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
ST.LOUIS, MO 63104
St. Louis City (314) 577-5382
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695

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 Kurtis Sobush's NPI number?

The NPI number for Kurtis Sobush is 1821297490. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Kurtis Sobush located?

Kurtis Sobush practices at 1465 S Grand Blvd, St. Louis, MO 63104. The listed phone number is (314) 268-6439.

What is Kurtis Sobush's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Kurtis Sobush enrolled in Medicare?

Yes. Kurtis Sobush is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kurtis Sobush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kurtis Sobush reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Saint Francis Medical Center (Farmington, MO). 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 Kurtis Sobush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kurtis Sobush 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 4 other insurers list Kurtis Sobush 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 Kurtis Sobush was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.