Individual provider Active NPI

Vadim Yuri Baram, MD

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1124007380
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2004022302 Issued in 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
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050316000023 MO Practitioner - Psychiatry 3577518299 Reassigns benefits to 6 organizations
I20200108000501 IL Practitioner - Psychiatry 3577518299 Reassigns benefits to 1 organization
I20200716000107 FL Practitioner - Psychiatry 3577518299 Reassigns benefits to 1 organization

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
Vadim Baram MD IncGroup PAC ID 4486725595, 7 clinicians
Barnes Jewish HospitalGroup PAC ID 8426055815, 2 clinicians
TMS TherapeuticsGroup PAC ID 8820401110, 2 clinicians
Sana Lake Recovery Center LLCGroup PAC ID 0143752766, 4 clinicians

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

LicenseStateTypeSpecialty
2004022302MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenleaf Theracare Iop, LLC CurrentSince Mar 17, 2022 Accepting new patients
TMS Therapeutics CurrentSince Apr 1, 2022 Accepting new patients
Barnes Jewish Hospital CurrentSince Apr 8, 2015 Accepting new patients
Sana Lake Recovery Center, LLC CurrentSince Apr 17, 2025 Accepting new patients
Barnes Jewish Hospital CurrentSince Apr 8, 2015 Accepting new patients
Kathryn Schormann LLC CurrentSince Aug 1, 2022 Accepting new patients
Olive Street Pharmacy LLC PastSince Jan 1, 2021 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 PastSince Apr 26, 2020 Accepting new patients
Monarch Immigrant Services PastSince Sep 15, 2012 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

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.