Vadim Yuri Baram, MD

Key facts

NPI

1124007380

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

2004022302 (MO)

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

Sex

Male

Sole proprietor

Yes

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barnes Jewish Hospital General Acute Care Hospital · Saint Louis, MO · NPI 1649299827
  Medicare reassignment Care Compare group NPD MO
• Sana Lake Recovery Center, LLC Substance Abuse Rehabilitation Facility · Creve Coeur, MO · NPI 1427637560
  Medicare reassignment Care Compare group NPD MO
• TMS Therapeutics Mental Health Clinic/Center (Including Community Mental Health Center) · Creve Coeur, MO · NPI 1275120065
  Medicare reassignment Care Compare group NPD MO
• Vadim Baram MD, Inc. Geriatric Psychiatry Physician · Saint Louis, MO · NPI 1770743189
  Medicare reassignment Care Compare group FL · IL · MO
• Greenleaf Theracare Iop, LLC Adult Mental Health Clinic/Center · Saint Louis, MO · NPI 1154070175
  Medicare reassignment NPD MO
• Kathryn Schormann LLC Counselor · Ellisville, MO · NPI 1871181768
  Medicare reassignment NPD MO
• Barnes Jewish Hospital Community/Retail Pharmacy · Saint Louis, MO · NPI 1245081058
  Care Compare group
• Barnes Jewish Hospital Skilled Nursing Facility · Saint Louis, MO · NPI 1437178522
  Care Compare group
• Barnes Jewish Hospital Clinic Pharmacy · Saint Louis, MO · NPI 1750025565
  Care Compare group
• Barnes Jewish Hospital Clinic Pharmacy · Saint Louis, MO · NPI 1871609784
  Care Compare group
• Barnes Jewish Hospital General Practice Physician · Saint Louis, MO · NPI 1407215734
  NPD
• Maryland Heights Center for Behavioral Health LLC Psychiatric Hospital · Maryland Heights, MO · NPI 1386309250
  NPD (past)
• Monarch Immigrant Services Clinic/Center · Saint Louis, MO · NPI 1942270863
  NPD (past)
• Olive Street Pharmacy LLC Pharmacy · Creve Coeur, MO · NPI 1104249168
  NPD (past)
• Sana Lake Recovery Center, LLC Substance Abuse Rehabilitation Facility · Dittmer, MO · NPI 1417577107
  NPD (past)
• The Estates of Perryville, LLC Skilled Nursing Facility · Perryville, MO · NPI 1164826004
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Barnes Jewish Hospital General Acute Care Hospital · Saint Louis, MO · NPI 1649299827
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Psychiatry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vadim Baram MD Inc (7 clinicians)
Barnes Jewish Hospital (2 clinicians)
TMS Therapeutics (2 clinicians)
Sana Lake Recovery Center LLC (4 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barnes Jewish Hospital Hospital · Saint Louis, MO · CCN 260032

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in MO, IL, FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• Direct secure messaging: vadim.baram.1@18773.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11541376",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209106822",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE",
            "identifier": "041854",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2004022302",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "353493570",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG CERTIFICATE",
            "identifier": "0-549-411-7",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "230500",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209106814",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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