MOHAMMAD WS BAIDOUN MD
NPI 1871154971
Pediatrics - Pediatric Cardiology in Springfield, IL

Q: What is Mohammad Baidoun's NPI number?

The NPI number for Mohammad Baidoun is 1871154971. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Q: What is Mohammad Baidoun's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Baidoun was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 28, 2019PECOS Enrolled

400 N 9TH ST FL 2, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-2303 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, May 21, 2025 (2 updates tracked since 2025).

On this page

About Mohammad Ws Baidoun Md NPPES

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

MOHAMMAD WS BAIDOUN MD (NPI 1871154971) is an individual pediatric cardiology provider in Springfield, Illinois, licensed in Illinois (036.173832) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalamazoo, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871154971

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameMOHAMMAD WS BAIDOUNCredential: MD

Location Address400 N 9TH ST FL 2Springfield, IL 62702-5310

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000

Phone(217) 545-8000

Fax(217) 545-2303

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 28, 2019

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1871154971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in IL · 036.173832

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351045426 (MI)

400 N 9TH ST FL 2, Springfield, IL 62702

Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Oakland DrKalamazoo, MI 49008-1282 · Phone (269) 337-6400

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 Ws Baidoun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921333147

PECOS Enrollment IDI20250701004172

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.

Other Providers at the Same Location NPPES 5

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

ENAS MOHAMED SHANSHEN MD

Pediatrics (Pediatric Cardiology)