Mohammad Baraa Boozo

Internal Medicine in Springfield, IL. Individual provider (NPI-1).

NPI number1245127307

StatusActive

Last updated in NPPESJun 21, 2025

Details

NPI: 1245127307
Entity type: Individual (NPI-1)
Name: Mohammad Baraa Boozo
Sex: Male
Sole proprietor: No
Enumeration date: Jun 21, 2025
Certification date: Jun 21, 2025
Last updated: Jun 21, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	125086379	IL	Yes

Practice location

751 N Rutledge St Rm 1100
Springfield, IL 62702-4968

Phone 217-545-8000 · Fax 217-545-9730

Mailing address

Po Box 19636
Springfield, IL 62794-9636

Phone 217-545-8000 · Fax 217-545-9730

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Springfield, IL

All 211 Internal Medicine Physician providers in Springfield · All 5,952 providers in Springfield

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check