DEEPTI GANTI CHRUSCIEL (M.D.) – Pediatrics Physician, NPI 1659562635

DEEPTI GANTI CHRUSCIEL (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. 2007016654 (MO). The NPI Number for DEEPTI GANTI CHRUSCIEL (M.D.) is 1659562635

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DEEPTI GANTI CHRUSCIEL (M.D.)
NPI
1659562635
Phone
(314) 577-5634
Address
1465 S GRAND BLVD
Enumeration Date
6 August 2007
Last Update Date
9 August 2023

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4052712669
Graduation Year
2007 (19 years ago)
PAC ID
5991957326
Group Practice PAC ID
2860304334
Professional Enrollment ID
I20121212000247
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DEEPTI GANTI CHRUSCIEL (M.D.)

  • SSM Health Cardinal Glennon Children’s Hospital, 1465, South Grand Boulevard, Tiffany, City of Saint Louis, Missouri, 63104, United States

    SAINT LOUIS, MO 631041003

    Phone: (314) 577-5634

    Type: Mailing

  • 6800 NW 39TH EXPY

    BETHANY, OK 730082513

    Phone: (405) 440-9866

    Fax: (405) 438-3834

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2023-12-02 • Largest payer in this snapshot: NEUROPACE, INC. ($132).

Total Amount

$248

General + Research + Ownership

Payments

3

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-12-12

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
I20121212000247INeurologyOKTBD

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 63104)

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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: 2860304334View full group profile

Reviews

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Frequently asked questions

Can I verify DEEPTI GANTI CHRUSCIEL (M.D.) with an NPI only?
You can start verification with NPI 1659562635 for DEEPTI GANTI CHRUSCIEL (M.D.), then check state licensing separately.
Does the file indicate DEEPTI GANTI CHRUSCIEL (M.D.) is practicing under active NPI?
Directory data currently reports DEEPTI GANTI CHRUSCIEL (M.D.) as active.
What is DEEPTI GANTI CHRUSCIEL (M.D.) best known for clinically?
Directory data describes DEEPTI GANTI CHRUSCIEL (M.D.) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DEEPTI GANTI CHRUSCIEL (M.D.) on a map?
Expect Saint Louis, Missouri as a primary anchor for DEEPTI GANTI CHRUSCIEL (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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