Active NPI
Vadim Yuri Baram, MD
- Psychiatry Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2004022302
- Practice address
- 10420 Old Olive Street Rd
Ste 205
Saint Louis, MO 63141-5914 - Phone
- (314) 504-4698
- Fax
- (314) 692-9978
- NPI assigned
- Jan 15, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 2004022302 | MO | |
| Psychiatry Physician | 2084P0800X | 2004022302 | MO | Primary |
Addresses
Primary practice location
10420 Old Olive Street Rd
Ste 205
Saint Louis, MO 63141-5914
Mailing address
10420 Old Olive Street Rd
Ste 205
Saint Louis, MO 63141-5914
Phone (314) 504-4698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10420 Old Olive St Rd
Suite 205
Saint Louis, MO 63141-5937
Phone (314) 504-4698
16711 Collins Ave
Apt 1203
Sunny Isles Beach, FL 33160-4259
Phone (314) 692-8516
5355 Delmar Blvd
Saint Louis, MO 63112-3146
Phone (314) 932-7110
655 Craig Rd
Suite 252
Creve Coeur, MO 63141-7170
Phone (314) 435-4874
711 Old Ballas Rd
Suite 203
Saint Louis, MO 63141-7069
Phone (314) 806-1026
903 N Moreland Rd
Bethalto, IL 62010-2199
Phone (314) 504-4698
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004022302 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenleaf Theracare Iop, LLC | Current | Accepting new patients | |
| TMS Therapeutics | Current | Accepting new patients | |
| Barnes Jewish Hospital | Current | Accepting new patients | |
| Sana Lake Recovery Center, LLC | Current | Accepting new patients | |
| Barnes Jewish Hospital | Current | Accepting new patients | |
| Kathryn Schormann LLC | Current | Accepting new patients | |
| Olive Street Pharmacy LLC | Past | Accepting new patients | |
| The Estates of Perryville, LLC | Past | Accepting new patients | |
| Maryland Heights Center for Behavioral Health LLC | Past | Accepting new patients | |
| Sana Lake Recovery Center, LLC | Past | Accepting new patients | |
| Monarch Immigrant Services | Past | Accepting new patients |
Locations
485 Wildwood Pkwy
Ste 3
Ballwin, MO 63011
Phone (314) 252-8220
10199 Woodfield Ln
Saint Louis, MO 63132
Phone (314) 485-5845
10420 Old Olive Street Rd
Ste 104
Saint Louis, MO 63141
Phone (314) 497-0500
4921 Parkview Pl
Saint Louis, MO 63110
Phone (314) 747-4850
655 Craig Rd
Ste 252
Saint Louis, MO 63141
Phone (314) 435-4874
711 Old Ballas Rd
Ste 203
Saint Louis, MO 63141
Phone (314) 569-2253
24530 Southside Rd
Ste A
Waynesville, MO 65583
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- vadim.baram.1@18773.direct.athenahealth.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
dba New Dawn Family Healing
- Substance Abuse Rehabilitation Facility
- Creve Coeur, MO
- NPI 1427637560
-
dba Precision TMS
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Creve Coeur, MO
- NPI 1275120065
-
- Adult Mental Health Clinic/Center
- Saint Louis, MO
- NPI 1154070175
-
- General Practice Physician
- Saint Louis, MO
- NPI 1407215734
-
- Psychiatric Hospital
- Maryland Heights, MO
- NPI 1386309250
-
- Clinic/Center
- Saint Louis, MO
- NPI 1942270863
-
- Pharmacy
- Creve Coeur, MO
- NPI 1104249168
-
- Substance Abuse Rehabilitation Facility
- Dittmer, MO
- NPI 1417577107
-
- Skilled Nursing Facility
- Perryville, MO
- NPI 1164826004
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1124007380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 OLD OLIVE STREET RD",
"address_2": "STE 205",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415914",
"telephone_number": "314-504-4698",
"fax_number": "314-692-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 OLD OLIVE STREET RD",
"address_2": "STE 205",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415914",
"telephone_number": "314-504-4698",
"fax_number": "314-692-9978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAM",
"first_name": "VADIM",
"middle_name": "YURI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MO",
"license": "2004022302",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2004022302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.