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DR. CAROLE C KOUNGA MD
NPI 1962996017
Hospitalist in Saint Louis, MO

Active since June 20, 2018PECOS Enrolled
1 BARNES JEWISH HOSPITAL PLZ, DIV IM GENERAL MED, SAINT LOUIS, MO 63110(314) 747-3000(314) 996-8436 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2021, Jun 20, 2018 (2 updates tracked since 2018).

About Dr. Carole C Kounga Md NPPES

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

DR. CAROLE C KOUNGA MD (NPI 1962996017) is an individual hospitalist provider in Saint Louis, Missouri, licensed in Missouri (2021006400) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962996017
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. CAROLE C KOUNGACredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV IM GENERAL MEDSaint Louis, MO 63110-1003
Mailing Address660 S Euclid Ave, Cb 8121Saint Louis, MO 63110-1010 · (314) 362-5060 · Fax (314) 996-8436
Phone(314) 747-3000
Fax(314) 996-8436
Sole ProprietorNo
Enumeration DateJune 20, 2018
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
✔ NPI 1962996017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MO · 2021006400
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2021006400 (MO)
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid200060982MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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. Carole C Kounga Md 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

4

Medicare enrollment records show Carole Kounga reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University
6.5 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 1,133 clinicians in this Medicare group
NPI 1992746903 (314) 747-5192
Brigham & Womens Physicians Organization Inc
1,044 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500
The General Hospital Corporation
1,046 mi
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000
Massachusetts General Physicians Organization Inc
1,046 mi
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287

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 63110 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 20

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

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
1 BARNES JEWISH HOSPITAL PLZ, DIV IM MEDICAL ONCOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 747-1171
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373

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 Carole Kounga's NPI number?

The NPI number for Carole Kounga is 1962996017. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Carole Kounga located?

Carole Kounga practices at 1 Barnes Jewish Hospital Plz Div Im General Med, Saint Louis, MO 63110. The listed phone number is (314) 747-3000.

What is Carole Kounga's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Carole Kounga enrolled in Medicare?

Yes. Carole Kounga is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carole Kounga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Kounga reassigns Medicare benefits to 4 organizations: Washington University (Saint Louis, MO), Brigham & Womens Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). 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 Carole Kounga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carole Kounga accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Carole Kounga 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 Carole Kounga was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.