Prajakta Mungikar (NPI# 1790109247, PAC ID# 6608135280) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1790109247 |
| PAC ID by PECOS | 6608135280 |
| Professional Enrollment ID | I20180108001004 |
| Full Name | Prajakta Mungikar |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Address |
201 Bjc St Peters Dr Suite 200 St Peters MO 63376 |
| Phone Number | 6369169615 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3072421254 |
| Number of Group Practice Members | 348 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 | 6369169615 | PHYSICIAN GROUPS LC |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Physicians | 360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John David Edward Cooper | Obstetrics/gynecology | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Kwabena Owusu Dekyi | Family Medicine | Physician Groups Lc | 7415 A N Lindbergh Blvd, Hazelwood, MO 63042-2120 |
| Amy Elizabeth Roberts | Family Medicine | Physician Groups Lc | 8888 Ladue Rd, Suite 210, Saint Louis, MO 63124-2005 |
| Jane Isabelle Foreman | Nurse Practitioner | Physician Groups Lc | 605 C Douglas Dr, Ashland, MO 65010-9088 |
| Shahed N Badiyan | Radiation Oncology | Physician Groups Lc | 150 Entrance Way, Siteman Cancer Center, Saint Peters, MO 63376-1645 |
| Carlos A Rubio-reyes | Family Medicine | Physician Groups Lc | 900 Rain Forest Pkwy, Suite B, Columbia, MO 65202-3796 |
| Mindy Lou Doscher | Nurse Practitioner | Physician Groups Lc | 900 W Nifong Blvd, Suite 101, Columbia, MO 65203-4469 |
| Sarah Z Martin | Nurse Practitioner | Physician Groups Lc | 3844 S Lindbergh Blvd, Suite 120, Saint Louis, MO 63127-1369 |
| Mary Hoang | Family Medicine | Physician Groups Lc | 6261 Ronald Reagan Dr, Suite B19, Lake Saint Louis, MO 63367-2665 |
| Melinda C Hart | Nurse Practitioner | Physician Groups Lc | 108 Market St, Glasgow, MO 65254-1053 |
| Street Address |
201 BJC ST PETERS DR SUITE 200 |
| City | ST PETERS |
| State | MO |
| Zip | 63376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Knight Macheca | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Stanley Mathew | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Mei Chris Huang | Gastroenterology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Ranjani P Ramanathan | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Brittany Nicole Lyons | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Dianna J Ohlman | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Gary J Meltz | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 |
| Robert B Cusworth | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Saint Peters, MO 63376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny L Richardson | Chiropractic | 8471 Mexico Rd, Saint Peters, MO 63376-1103 | |
| Ryan D Mccain | Chiropractic | 8069 Mexico Rd, Saint Peters, MO 63376-1148 | |
| James E Lustig | Chiropractic | 7472 Mexico Rd, St Peters, MO 63376-1305 | |
| Steven Heiland | Chiropractic | 7347 Mexico Rd, Suite 200, Saint Peters, MO 63376-1393 | |
| Kevin G Lydon | Optometry | Pec St Peters LLC | 6764 Mexico Rd, Saint Peters, MO 63376-1505 |
| Mark D Hingst | Family Medicine | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Cindy Myers | Nurse Practitioner | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Jessica Lynn Underhill | Family Medicine | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Deanna Justine Bajala | Family Medicine | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Michael Nels Kirk | Family Medicine | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Find all physicians in zip 63376 | |||
| City | ST PETERS |
| Zip Code | 63376 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ST PETERS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Prajakta Mungikar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.