Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Harathi Bhooma, MD

Individual provider Family Medicine Physician · NPI 1407424732

Dr. Harathi Bhooma, MD is a Family Practice in O Fallon, Illinois. Qualified in 2003, 23 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
23
Licensed in
IL, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1099
Phone: (618) 233-7880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 Eleven S Ste 4a, Columbia, IL 62236-1077 — (617) 206-6120
  • 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 — (816) 214-5548

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036173617 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2021017276 (MO)

Record details

NPI number1407424732
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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