Individual provider Active NPI

Uchenna Lizmay Umeh, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1093770174
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q1523 Issued in TX
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
341033402MedicaidTX
T4817MedicaidSC

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
20696SCMDPediatrics Physician
Q1523TXMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.