Setu Patolia, - Medicare Critical Care (intensivists) in Saint Louis, MO

Setu Patolia, is a medicare enrolled "Internal Medicine" physician in Saint Louis, Missouri. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Ssm Health Care Group, Cogent Healthcare Of Missouri Inc and his current practice location is 3660 Vista Ave Ste 202, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 577-8000.

Setu Patolia is licensed to practice in Missouri (license number 2013002818) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649418104.

Contact Information

Setu Patolia,
3660 Vista Ave Ste 202,
Saint Louis, MO 63110-2540
(314) 577-8000
Not Available

Map and Direction




Physician's Profile

Full NameSetu Patolia
GenderMale
SpecialityCritical Care (intensivists)
Experience19 Years
Location3660 Vista Ave Ste 202, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Setu Patolia graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1649418104
  • Provider Enumeration Date: 01/21/2009
  • Last Update Date: 07/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3274751623
  • Enrollment ID: I20150715000052

Medical Identifiers

Medical identifiers for Setu Patolia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649418104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 2013002818 (Missouri)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 2013002818 (Missouri)Secondary
207R00000XInternal Medicine 2013002818 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Louis University HospitalSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Health Care Group0143608372690
Cogent Healthcare Of Missouri Inc559792509930

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Setu Patolia allows following entities to bill medicare on his behalf.
Entity NameCogent Healthcare Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780961599
PECOS PAC ID: 5597925099
Enrollment ID: O20120320000863
Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Setu Patolia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Setu Patolia,
3660 Vista Ave Ste 202,
Saint Louis, MO 63110-2540

Ph: () -
Setu Patolia,
3660 Vista Ave Ste 202,
Saint Louis, MO 63110-2540

Ph: (314) 577-8000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.