SOUMOJIT GHOSH (MD) – Gastroenterology Physician, NPI 1003310822

SOUMOJIT GHOSH (MD) is a healthcare provider. based in Overland park, Kansas. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 04-50045 (KS). The NPI Number for SOUMOJIT GHOSH (MD) is 1003310822

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SOUMOJIT GHOSH (MD)
NPI
1003310822
Phone
(913) 541-0510
Address
10116 W 105TH ST
Enumeration Date
19 March 2018
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3144009999
Graduation Year
2018 (8 years ago)
PAC ID
0446505069
Group Practice PAC ID
9739494832
Professional Enrollment ID
I20210824003085
Address ID
MO631417146CR11525RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:8State licenses:2Digital endpointsOther names

128 GASTROENTEROLOGY in KS

Provider Addresses for SOUMOJIT GHOSH (MD)

  • 10116 W 105TH ST

    OVERLAND PARK, KS 662125746

    Phone: (913) 541-0510

    Fax: (913) 541-1852

    Type: Mailing

  • 3660, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631102540

    Phone: (314) 977-6100

    Fax: (314) 977-6164

    Type: Location

  • 11525 OLDE CABIN RD

    CREVE COEUR, MO 631417146

    Phone: (314) 997-0554

    Fax: (314) 997-5086

    Type: Mailing

  • Schwitalla Hall Saint Louis School of Medicine, 1402, South Grand Boulevard, Gate District, City of Saint Louis, Missouri, 63104, United States

    SAINT LOUIS, MO 631041004

    Phone: (314) 577-8762

    Fax: (314) 268-5108

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,233.

Total Amount is formed as General ($2,233) + Research ($0) + Ownership ($0) = $2,233.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($990).

Total Amount

$2,233

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210824003085IGastroenterologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739494832View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMO
Gastroenterology, Internal MedicineMO
-KS
Nurse PractitionerMO
Gastroenterology, Internal MedicineMO
Certified Registered Nurse Anesthetist (Crna)MO
Internal Medicine, GastroenterologyMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

How do payers reference SOUMOJIT GHOSH (MD)?
For SOUMOJIT GHOSH (MD), use NPI 1003310822 as the unique 10-digit identifier.
Active or inactive — what applies to SOUMOJIT GHOSH (MD)?
You should see SOUMOJIT GHOSH (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to SOUMOJIT GHOSH (MD)?
SOUMOJIT GHOSH (MD)'s specialty line reads Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SOUMOJIT GHOSH (MD)?
Travel planning: use Overland Park, Kansas as the reference point for SOUMOJIT GHOSH (MD), then confirm.
When was this NPI issued?
Enumeration for SOUMOJIT GHOSH (MD) is noted as March 19, 2018 where the registry provides it.

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