Karen J Baranski, MD
Individual provider Active NPI Diagnostic Radiology Physician · Bridgeton, MO
NPI 1891718987 · NPPES record last updated Feb 26, 2008
Key facts
- NPI
- 1891718987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 116775 (MO)
- Practice address
- 12303 Depaul Dr
Depaul Health Center
Bridgeton, MO 63044 - Phone
- (314) 344-6350
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IL
- 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 |
|---|---|---|---|---|
| I20070806000505 | MO | Practitioner - Diagnostic Radiology |
0840381851 | Reassigns benefits to 4 organizations |
| I20221026000711 | IL | Practitioner - Diagnostic Radiology | 0840381851 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernst Radiology Clinic, Inc | Diagnostic Radiology | Current |
Accepting new patients |
| USA Radiology Management Solutions LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Ernst Radiology Clinic, Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Vascular Institute at Depaul | Past | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
12255 De Paul Dr
Ste 737
Bridgeton, MO 63044
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
16091 Swingley Ridge Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 728-2222
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
Interoperability endpoints
- kbaranski13892@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 116775 | MO | Yes |
Addresses
Primary practice location
12303 Depaul Dr
Depaul Health Center
Bridgeton, MO 63044
Mailing address
502 Earth City Expressway
Suite 121
Earth City, MO 63045
Phone (314) 770-2133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203815204 | Medicaid | PA |
Other providers in Bridgeton, MO
- Keithara Baker
- Marcy Kay Baker
- Jessica Rose Baldus
- Carly Marie Bambrick
- Hope Whitney Bante
- Leo C Barge
- Barnes Jewish Health Care
- Elena A Barrow
- Joseph Taylor Bartel
- Karen Belle Bartholow
All providers in Bridgeton, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2008. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.