KATEPALLE J MOORTHY MD
NPI 1902879802
Internal Medicine in Saint Louis, MO
About Katepalle J Moorthy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATEPALLE J MOORTHY MD (NPI 1902879802) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (36129) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katepalle J Moorthy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katepalle Moorthy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Ridge, TN 37830
- Reassigned Medicare billing, Missouri enrollment
- 193 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT LOUIS, MO 63128
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 Katepalle Moorthy's NPI number?
The NPI number for Katepalle Moorthy is 1902879802. It was assigned to this individual provider in the NPPES registry on February 10, 2006. The provider is also known as Kjpn Moorthy MD.
Where is Katepalle Moorthy located?
Katepalle Moorthy practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 317-0600.
What is Katepalle Moorthy's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Katepalle Moorthy enrolled in Medicare?
Yes. Katepalle Moorthy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katepalle Moorthy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katepalle Moorthy reassigns Medicare benefits to Southeastern Physician Services PC (Oak Ridge, TN). 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 Katepalle Moorthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katepalle Moorthy was last updated on February 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Katepalle J Moorthy, MD · NPI 1902879802
Internal Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since February 10, 2006.
## Identity
- **NPI:** 1902879802 (Entity type: Individual)
- **Enumerated:** February 10, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 36129 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 10010 KENNERLY RD, Saint Louis, MO 63128-2106
- **Phone:** (314) 317-0600 · **Fax:** (314) 317-0606
## 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:** Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2015
- **Other identifiers:** Medicaid 201224060 (MO); Medicare PIN 943531390 (MO); Medicare PIN K13443 (IL); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902879802) · Data from the CMS NPPES public registry.