PRAJAKTA MUNGIKAR (MD) – Internal Medicine Physician, NPI 1790109247

PRAJAKTA MUNGIKAR (MD) is a healthcare provider. based in Saint peters, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2017031878 (MO). The NPI Number for PRAJAKTA MUNGIKAR (MD) is 1790109247

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
PRAJAKTA MUNGIKAR (MD)
NPI
1790109247
Phone
(636) 916-9615
Address
201 BJC SAINT PETERS DR STE 200
Enumeration Date
4 February 2014
Last Update Date
22 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6364611414
Graduation Year
2007 (19 years ago)
PAC ID
6608135280
Group Practice PAC ID
0446203236
Professional Enrollment ID
I20180108001004
Address ID
MO630106021AR3619XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

Provider Addresses for PRAJAKTA MUNGIKAR (MD)

  • 201 BJC SAINT PETERS DR STE 200

    SAINT PETERS, MO 633763386

    Phone: (636) 916-9615

    Fax: (636) 916-9850

    Mailing address matches the actual address.

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 $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($19).

Total Amount

$46

General + Research + Ownership

Payments

3

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

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: 2018-01-08

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
I20180108001004IInternal MedicineMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12858$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4141$0
83036Hemoglobin a1c level3820$0
View full utilization report →

Insurance plans in this area (ZIP 63376)

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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: 0446203236View full group profile

Reviews

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Frequently asked questions

Does PRAJAKTA MUNGIKAR (MD) have a public NPI I can cite?
Public records show PRAJAKTA MUNGIKAR (MD) under NPI 1790109247.
Is PRAJAKTA MUNGIKAR (MD)'s NPI status active today?
Active status means PRAJAKTA MUNGIKAR (MD)'s NPI record is not deactivated in the public file.
What does the directory say PRAJAKTA MUNGIKAR (MD) does?
Insurance directories may phrase it differently, but here PRAJAKTA MUNGIKAR (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to PRAJAKTA MUNGIKAR (MD)?
PRAJAKTA MUNGIKAR (MD) shows a connection to Saint Peters, Missouri in registry-derived data.
Who maintains PRAJAKTA MUNGIKAR (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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