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

Kavipriya Komeswaran

Individual provider Pediatric Critical Care Medicine Physician · NPI 1003267634

Kavipriya Komeswaran is a Pediatric Medicine in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Missouri and Mississippi.

Years since qualifying
12
Licensed in
IL, MO, MS
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 617-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 N State St, Jackson, MS 39216-4500 — (601) 815-2005

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 2026027959 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 125.069376 (IL)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 30089 (MS)

Record details

NPI number1003267634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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