Amira Mary Bahu, MD
Individual provider Active NPI Diagnostic Radiology Physician · Belleville, IL
NPI 1245202068 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1245202068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 036109460 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 SC
Washington University Physicians in Illinois Inc
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
- Memorial Hospital
- Alton Memorial Hospital
- Clay County Hospital
- Hopedale Hospital
- Pinckneyville Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031218000332 | IL | Practitioner - Diagnostic Radiology | 9931006756 | Reassigns benefits to 4 organizations |
| I20210225001250 | MO | Practitioner - Diagnostic Radiology | 9931006756 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036109460 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Protestant Memorial Medical Center,Inc | Current | Accepting new patients | |
| Miracl, LLC | Current | Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current |
Accepting new patients |
| Washington University Physicians in Illinois, Inc. | Current |
Accepting new patients | |
| Clinical Radiologists, S.C. | Diagnostic Radiology | Current |
Accepting new patients |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current |
Accepting new patients | |
| Washington University | Diagnostic Radiology | Current |
Accepting new patients |
| Crawford Hospital District | Current | Accepting new patients | |
| Arlington Heights Radiology Center, LLC | Past | Accepting new patients | |
| Global Medical Imaging, SC | Diagnostic Radiology | Past | Accepting new patients |
| Kenosha Radiology Center LLC. | Past |
Accepting new patients | |
| Central Illinois Neuroradiology, LTD | Past | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Past | Accepting new patients | |
| Stat Anesthesia Specialists, LTD. | Past | Accepting new patients | |
| Wellington Radiology Group, S.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
3101 N Harlem Ave
Chicago, IL 60634
Phone (773) 836-9360
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 120
Park Ridge, IL 60068
Phone (847) 292-5200
205 S Northwest Hwy
Ste 11
Park Ridge, IL 60068
Phone (847) 292-5295
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
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036109460 | IL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200092994 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Other providers in Belleville, IL
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- Omer M Badahman
- Allison Kathleen Baldwin
- Joshua Baldwin
- Natasha D Bancroft
- Cynthia Camille Banderet
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All providers in Belleville, IL · Diagnostic Radiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.