Active NPI
Uchenna Lizmay Umeh, MD
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1093770174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q1523
- Practice address
- 10002 Westover Bluff
San Antonio, TX 78251-9619 - Phone
- (210) 233-7000
- Fax
- (210) 277-5199
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20696 | SC | |
| Pediatrics Physician | 208000000X | Q1523 | TX | Primary |
Addresses
Primary practice location
10002 Westover Bluff
San Antonio, TX 78251-9619
Mailing address
3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7062
Other practice location 1
9594 Potranco Rd
Ste 102
San Antonio, TX 78251-9618
Phone (210) 233-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341033402 | Medicaid | TX | |
| T4817 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 29, 2019 through Jul 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20696 | SC | MD | Pediatrics Physician |
| Q1523 | TX | MD | Pediatrics Physician |
Interoperability endpoints
- uchenna.umeh.1@23699.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093770174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3066 E COMMERCE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782201013",
"telephone_number": "210-233-7062",
"fax_number": "210-434-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10002 WESTOVER BLUFF",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782519619",
"telephone_number": "210-233-7000",
"fax_number": "210-277-5199"
}
],
"practiceLocations": [
{
"address_1": "9594 Potranco Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782519618",
"country_code": "US",
"telephone_number": "210-233-7000",
"fax_number": "210-277-5199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UMEH",
"first_name": "UCHENNA",
"middle_name": "LIZMAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "20696",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q1523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341033402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T4817",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.