DR. MUJAHIDA BARAM (MD) – Pediatric Emergency Medicine (Emergency Medicine) Physician, NPI 1407018336
Pediatric Emergency Medicine (Emergency Medicine) Physician
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NPPES metrics only — not quality of care.
Provider Addresses for DR. MUJAHIDA BARAM (MD)
Saint Louis Childrens Hospital School, 1, Children's Place, Central West End, City of Saint Louis, Missouri, 63110, United States
NWT 8328 CB 8116
SAINT LOUIS, MO 631101002
Phone: (314) 454-2076
Fax: (314) 747-8953
Type: Mailing
25 N Winfield Rd
Winfield, IL 601901222
Phone: (630) 933-1600
Type: Location
225 E Chicago Ave
Chicago, IL 606112991
Phone: (312) 227-4000
Type: Location
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone: (847) 570-2040
Fax: (847) 733-5315
Type: Mailing
801 S WASHINGTON ST
NAPERVILLE, IL 605407430
Phone: (630) 527-3000
Fax: (630) 527-3371
Type: Location
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Mailing
Northwestern Medicine Central DuPage Hospital, 25, North Winfield Road, Geneva Road, Winfield, DuPage County, Illinois, 60190, United States
WINFIELD, IL 601901222
Phone: (630) 933-1600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110810000469 | I | Emergency Medicine | MO | TBD |
| I20200624002273 | I | Emergency Medicine | IL | TBD |
| I20220713001705 | I | Pediatric Medicine | TX | TBD |
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.
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 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| General Surgery | MO | |
| Family Practice | MO | |
| Psychiatry, Neurology | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO |
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