MOHAMMAD BARAA BOOZO
NPI 1245127307
Internal Medicine in Springfield, IL

Q: What is Mohammad Baraa Boozo's NPI number?

The NPI number for Mohammad Baraa Boozo is 1245127307. It was assigned to this individual provider in the NPPES registry on June 21, 2025.

Q: What is Mohammad Baraa Boozo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 21, 2025PECOS Enrolled

751 N RUTLEDGE ST RM 1100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-9730 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mohammad Baraa Boozo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMAD BARAA BOOZO (NPI 1245127307) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (125086379) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245127307

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMOHAMMAD BARAA BOOZO

Location Address751 N RUTLEDGE ST RM 1100Springfield, IL 62702-4968

Mailing AddressPo Box 19636Springfield, IL 62794-9636 · (217) 545-8000 · Fax (217) 545-9730

Phone(217) 545-8000

Fax(217) 545-9730

Sole ProprietorNo

Enumeration DateJune 21, 2025

NPPES CertifiedJune 21, 2025

✔ NPI 1245127307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125086379

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

751 N RUTLEDGE ST RM 1100, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Baraa Boozo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MURTAZA JATOI MD

Internal Medicine