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

Dr. Vinay Kumar Bhooma, MD

Individual provider Family Medicine Physician · NPI 1730317702

Dr. Vinay Kumar Bhooma, MD is a Family Medicine Physician in O Fallon, Illinois. Licensed in Illinois and Indiana. Registered with an NPI since 2009.

Licensed in
IL, IN
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone: (618) 233-5480
Fax: (618) 222-4790
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036150270 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01072949A (IN)
Hospitalist Physician Taxonomy 208M00000X · Licence 01072949 (IN)

Record details

NPI number1730317702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021
Mailing address3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284

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