MIRIAM MELISSA BALTUANO SONGHURST (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1467802108

MIRIAM MELISSA BALTUANO SONGHURST (M.D.) is a healthcare provider. based in Burr ridge, Illinois. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2024019189 (MO). The NPI Number for MIRIAM MELISSA BALTUANO SONGHURST (M.D.) is 1467802108

Main info

Female
14 Years Of Experience
Name
MIRIAM MELISSA BALTUANO SONGHURST (M.D.)
NPI
1467802108
Phone
(773) 702-1150
Address
180 HARVESTER DR
Enumeration Date
14 June 2016
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
5193017580
Professional Enrollment ID
I20260120002894
Address ID
MO641084619Ka2401XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

1,158 PEDIATRIC MEDICINE in IL

Provider Addresses for MIRIAM MELISSA BALTUANO SONGHURST (M.D.)

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 60527, United States

    SUITE 110, BURR RIDGE

    BURR RIDGE, IL 605277594

    Phone: (773) 702-1150

    Type: Mailing

  • 5841 S MARYLAND AVE # MC8016

    CHICAGO, IL 606371447

    Phone: (773) 702-6435

    Type: Location

  • 2401 GILLHAM RD

    KANSAS CITY, MO 641084619

    Phone: (816) 234-3000

    Fax: (816) 302-9939

    Type: Location

  • 1200 CHILDRENS AVE STE 1F

    OKLAHOMA CITY, OK 731044637

    Phone: (405) 271-4113

    Fax: (405) 271-2144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($52).

Total Amount

$237

General + Research + Ownership

Payments

10

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240621001483IPediatric MedicineMOTBD
I20260120002894IPediatric MedicineKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60527)

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Reviews

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Frequently asked questions

Is MIRIAM MELISSA BALTUANO SONGHURST (M.D.) listed with a National Provider Identifier?
Yes — MIRIAM MELISSA BALTUANO SONGHURST (M.D.) has NPI 1467802108 on file in the registry.
Is there an active status for MIRIAM MELISSA BALTUANO SONGHURST (M.D.)?
For scheduling context, MIRIAM MELISSA BALTUANO SONGHURST (M.D.) is shown as active in the registry.
What kind of doctor is MIRIAM MELISSA BALTUANO SONGHURST (M.D.)?
MIRIAM MELISSA BALTUANO SONGHURST (M.D.) is associated with Neurology with Special Qualifications in Child Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MIRIAM MELISSA BALTUANO SONGHURST (M.D.) associated with Burr Ridge?
Public fields place MIRIAM MELISSA BALTUANO SONGHURST (M.D.) around Burr Ridge, Illinois. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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