Individual provider Active NPI

Amira Mary Bahu, MD

  • Diagnostic Radiology Physician
  • Belleville, IL
National Provider Identifier
1245202068
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036109460 Issued in IL
Practice address
4500 Memorial Dr
Dept Radiology
Belleville, IL 62226-5360
Phone
(618) 257-5613
Fax
(314) 454-4641
NPI assigned
Feb 6, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036109460 IL Primary

Addresses

Primary practice location

4500 Memorial Dr
Dept Radiology
Belleville, IL 62226-5360

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 257-5613

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031218000332 IL Practitioner - Diagnostic Radiology 9931006756 Reassigns benefits to 4 organizations
I20210225001250 MO Practitioner - Diagnostic Radiology 9931006756 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rush Medical College of Rush University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

1404 Cross St
Shiloh, IL 62269-2988
Phone (314) 362-5641

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

3050 Montvale Dr
Suite a
Springfield, IL 62704-6924
Phone (217) 726-8096

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036109460ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Radiologists, S.C. Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Miracl, LLC Current Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Oct 22, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Protestant Memorial Medical Center,Inc Current Accepting new patients
Washington University Physicians in Illinois, Inc. CurrentSince Oct 22, 2025 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Crawford Hospital District Current Accepting new patients
Washington University Diagnostic Radiology CurrentSince Oct 22, 2025 Accepting new patients
Global Medical Imaging, SC Diagnostic Radiology Past Accepting new patients
Wellington Radiology Group, S.C. Diagnostic Radiology Past Accepting new patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients
Kenosha Radiology Center LLC. PastSince Jul 1, 2015 Accepting new patients
Arlington Heights Radiology Center, LLC Past Accepting new patients
Central Illinois Neuroradiology, LTD Past Accepting new patients
Stat Anesthesia Specialists, LTD. Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

3101 N Harlem Ave
Chicago, IL 60634
Phone (773) 836-9360

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

2122 Troy Rd
Ste 130
Edwardsville, IL 62025
Phone (618) 692-9876

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

205 S Northwest Hwy
Ste 11
Park Ridge, IL 60068
Phone (847) 292-5295

205 S Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 292-5200

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

3050 Montvale Dr
Springfield, IL 62704

3050 Montvale Dr
Ste A
Springfield, IL 62704
Phone (217) 222-9302

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

100 Medical Dr
Hannibal, MO 63401

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 6

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1245202068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "618-257-5613",
            "fax_number": "314-454-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "address_2": "DEPT RADIOLOGY",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-257-5613",
            "fax_number": "314-454-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHU",
        "first_name": "AMIRA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-10-21",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036109460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4500 Memorial Dr",
            "address_2": "Dept Radiology",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.