Mitra B. Boodram, MD
Neuroradiology Physician · Saint Louis, MO
Mitra B. Boodram, MD is a neuroradiology physician with a practice address in Saint Louis, Missouri, and NPI 1174537039, issued on Jul 28, 2006. Check the license (Missouri 110362, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.
- Name
- Mitra B. Boodram
- Credential
- MD
- Primary taxonomy
- Neuroradiology Physician 2085N0700X
- License number
- 110362 MO
Self-reported in NPPES; status is on the state search - Practice location
- 11133 Dunn RD, Saint Louis, MO 63136
- Phone
- (314) 362-7200
- Enumerated
- Jul 28, 2006
- Record last updated
- Apr 15, 2025
- Fax
- (314) 747-4189
- Medicaid ID
- 208285007 MO
- Medicare enrollment
- Enrolled (PECOS I20080314000141); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest neuroradiology physician records → All 40 in Missouri → Look up another NPI →
Also registered at 11133 Dunn RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Anna Arnold, PAPhysician Assistant1447882584
- Ola Bamimore, MDEmergency Medicine Physician1992947832
- Jenny Bao, MDEmergency Medicine Physician1275947095
Verify Mitra B. Boodram in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
Search for license 110362Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 79.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Bjc Outpatient Imaging LLCChesterfield, MO
- Washington UniversitySaint Louis, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mitra B. Boodram among 40 neuroradiology physician records in Missouri
Mitra B. Boodram, MD is one of 40 neuroradiology physician records with a practice address in Missouri. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 0% of them.
- NPI issued2006 · 0% of these records are older, 63% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated1989 · median 2003 among the 32 with a school on file
- Record last updated2025 · 30% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085N0700X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Neuroradiology Physician providers in Missouri
There are 40 neuroradiology physician records in Missouri.
All 40 in Missouri → Every provider in Saint Louis → Neuroradiology Physician nationwide →
The 8 neuroradiology physician records with the nearest ZIP codes
- Toni Roth, MDSaint Louis, MO 631311225063118
- Jeffrey Thomasson, M.D.Saint Louis, MO 631411548224132
- Omer Cakir, MDSaint Louis, MO 631101154959682
- Arindam Chatterjee, MDSaint Louis, MO 631101780857979
- Rahul Deolankar, MDSaint Louis, MO 631101275947012
- Taylor Greenwood, MDSaint Louis, MO 631101851602965
- Gloria Guzman Perez-Carrillo, MDSaint Louis, MO 631101568669901
- Saurabh JindalSaint Louis, MO 631101659056315
Common questions
What is Mitra B. Boodram, MD's NPI number?
Mitra B. Boodram, MD's National Provider Identifier (NPI) is 1174537039, issued on Jul 28, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mitra B. Boodram, MD located?
The NPPES record lists a practice address at 11133 Dunn RD, Saint Louis, MO, 63136. Phone: (314) 362-7200. Providers update this record themselves, so call before visiting.
How can I verify Mitra B. Boodram, MD's license?
NPPES lists Missouri license number 110362, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Mitra B. Boodram, MD's MIPS final score?
The 2023 MIPS final score is 79.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.