Dr. Deepa Mokshagundam

MD | Pediatric Cardiology | Female

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Complete Profile:

Dr. Deepa Mokshagundam basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Deepa Mokshagundam
Credential :	MD
Gender :	Female

Business Address:

Dr. Deepa Mokshagundam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Pl, Div Ped Cardiology Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6095
Fax Number :	314-454-2561

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1821330465
NPI Entity Type :	Individual
First Enrolment Date :	21 Mar, 2013
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Deepa Mokshagundam participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3779818539
Medicare Enrollment ID :	I20190716002296
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Louisville School Of Medicine
Graduation Year :	2013
Accepts Medicare?	Yes. Dr. Deepa Mokshagundam accepts medicare insurance.

Group Practice Association:

Dr. Deepa Mokshagundam is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Deepa Mokshagundam is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Washington University	9830008770	2383	1 Childrens Pl Saint Louis, MO - 631101002	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Deepa Mokshagundam are as mentioned. Primary taxonomy code for Dr. Deepa Mokshagundam, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2019019575	MO
2080P0202X	Pediatrics Pediatric Cardiology	Yes	2019019575	MO

Legacy Identifiers:

Other legacy medical identifiers of Dr. Deepa Mokshagundam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200071003	MEDICAID	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6095
Fax Number :	314-454-2561

Business Location:

Patients can refer following map for directions to Dr. Deepa Mokshagundam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.