Dr Sunil M Apte, MD - Medicare Urology in O Fallon, MO

Dr Sunil M Apte, MD is a medicare enrolled "Urology" physician in O Fallon, Missouri. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Urology. He is a member of the group practice Washington University and his current practice location is 20 Progress Point Pkwy, Div Surg Urology, Ste 106, O Fallon, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 362-8200.

Dr Sunil M Apte is licensed to practice in Missouri (license number R8C82) 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 1598792269.

Contact Information

Dr Sunil M Apte, MD
20 Progress Point Pkwy, Div Surg Urology, Ste 106,
O Fallon, MO 63368-2206
(314) 362-8200
(314) 454-5244

Map and Direction




Physician's Profile

Full NameDr Sunil M Apte
GenderMale
SpecialityUrology
Experience54 Years
Location20 Progress Point Pkwy, O Fallon, 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:
  • Dr Sunil M Apte graduated from medical school in 1970
  NPI Data:
  • NPI Number: 1598792269
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931093663
  • Enrollment ID: I20100506001037

Medical Identifiers

Medical identifiers for Dr Sunil M Apte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598792269NPI-NPPES
201912912MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology R8C82 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Barnes-jewish St Peters HospitalSaint peters, MOHospital
Progress West HospitalO fallon, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Washington University98300087702506

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. Dr Sunil M Apte allows following entities to bill medicare on his behalf.
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760425474
PECOS PAC ID: 9830008770
Enrollment ID: O20040315000891

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. Dr Sunil M Apte 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
Dr Sunil M Apte, MD
Po Box 60352,
Saint Louis, MO 63160-0352

Ph: (314) 362-8200
Dr Sunil M Apte, MD
20 Progress Point Pkwy, Div Surg Urology, Ste 106,
O Fallon, MO 63368-2206

Ph: (314) 362-8200

Reviews and Comments


Urology Doctors in O Fallon, MO


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.