Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rahul S Phatak, MD

Individual provider Hospitalist Physician · NPI 1124086038

Dr. Rahul S Phatak, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 2006, 20 years ago. Practices with Physician Groups Lc, a 524-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
20
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone: (314) 996-5772
Fax: (314) 996-7691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2001009343 (MO)

Record details

NPI number1124086038
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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