DR. VINAY KUMAR BHOOMA M.D.
NPI 1730317702
Family Medicine in O Fallon, IL

Active since June 29, 2009PECOS Enrolled
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 233-5480(618) 222-4790 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2021, Oct 20, 2020, Mar 4, 2016 (3 updates tracked since 2016).

About Dr. Vinay Kumar Bhooma M.d. NPPES

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

DR. VINAY KUMAR BHOOMA M.D. (NPI 1730317702) is an individual family medicine provider in O Fallon, Illinois, licensed in Illinois (036150270) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730317702
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VINAY KUMAR BHOOMACredential: M.D.
Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 233-5480 · Fax (618) 222-4790
Fax(618) 222-4790
Sole ProprietorNo
Enumeration DateJune 29, 2009
Last NPPES UpdateApril 8, 20213 updates tracked since enumeration
NPPES CertifiedApril 8, 2021
NPI 1730317702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036150270 Licensed in IN · 01072949A
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.
Also ListedHospitalistTaxonomy 208M00000X · License 01072949 (IN)
3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269

Other Identifiers 1

Medicaid201188610IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vinay Kumar Bhooma M.d. 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 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.

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.

Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269

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 Vinay Bhooma's NPI number?

The NPI number for Vinay Bhooma is 1730317702. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Vinay Bhooma located?

Vinay Bhooma practices at 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269. The listed phone number is (618) 233-5480.

What is Vinay Bhooma's specialty?

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

Is Vinay Bhooma enrolled in Medicare?

Yes. Vinay Bhooma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vinay Bhooma was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.