1. Home
  2. Directory
  3. Illinois
  4. O Fallon
  5. Family Medicine
  6. NPI Profile

DR. HARATHI BHOOMA MD
NPI 1407424732
Family Medicine in O Fallon, IL

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
1 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 233-7880 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Jun 14, 2021 (2 updates tracked since 2021).

About Dr. Harathi Bhooma Md NPPES

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

DR. HARATHI BHOOMA MD (NPI 1407424732) is an individual family medicine provider in O Fallon, Illinois, licensed in Illinois (036173617) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1407424732
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HARATHI BHOOMACredential: MD
Location Address1 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1099
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 233-7880
Phone(618) 233-7880
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 14, 2021
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1407424732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036173617✔ Licensed in MO · 2021017276
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Harathi Bhooma Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517349384
PECOS Enrollment IDI20250725001499
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harathi Bhooma's NPI number?

The NPI number for Harathi Bhooma is 1407424732. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Harathi Bhooma located?

Harathi Bhooma practices at 1 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269. The listed phone number is (618) 233-7880.

What is Harathi Bhooma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harathi Bhooma enrolled in Medicare?

Yes. Harathi Bhooma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Harathi Bhooma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Harathi Bhooma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Harathi Bhooma affiliated with any hospitals?

According to CMS data, Harathi Bhooma is affiliated with Ssm St Clare Health Center.

When was this NPI record last updated?

The NPPES record for Harathi Bhooma was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.