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

Kishore Maganty, MD

Individual provider Gastroenterology Physician · NPI 1790908820

Kishore Maganty, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 2002, 24 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
24
Licensed in
MO
In the registry since
2007
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

522 N New Ballas Rd Ste 210
Saint Louis, MO 63141-6829
Phone: (314) 328-5930
Fax: (314) 328-5933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 Fullerton Rd, Swansea, IL 62226-2970 — (314) 328-5930

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 2013012523 (MO)

Record details

NPI number1790908820
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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