Active NPI
Emmanuel Nwumeh, MD
- Family Medicine Physician
- Moline, IL
National Provider Identifier
1164643623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.117498
- Practice address
- 3061 7TH St
Moline, IL 61265-5903 - Phone
- (708) 275-0901
- Fax
- (708) 275-0901
- NPI assigned
- May 1, 2007
- Last updated
- Sep 29, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01063204 | IN | |
| Family Medicine Physician | 207Q00000X | 036.117498 | IL | Primary |
Addresses
Primary practice location
3061 7TH St
Moline, IL 61265-5903
Mailing address
3061 7TH St
Moline, IL 61265-5903
Phone (708) 275-0901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.117498 | Other | IL | ILLINOIS LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2508 24TH St
Suite 2
Rock Island, IL 61201-5300
Phone (309) 200-0212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.117498 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anis Ahmad, M.D., S.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Moline, IL
- NPI 1356605588
-
- Internal Medicine Physician
- Moline, IL
- NPI 1154588317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1164643623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655903",
"telephone_number": "708-275-0901",
"fax_number": "309-736-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655903",
"telephone_number": "708-275-0901",
"fax_number": "708-275-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWUMEH",
"first_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01063204",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.117498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE NUMBER",
"identifier": "036.117498",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
- Gary Nordick, PSY.D.
- Brianna Norman
- Nicole L Norton, PT
- Nu Trend Accessibility Systems Inc
- Sachin S Nunnewar, MD
- Katherine O'Day, MOT
- Diane K O'Neill, PT
- Occupational Health Centers of Illinois PC
- Occupational Health Centers of Illinois PC (dba, Concentra Medical Centers)
- Occupational Health Centers of Illinois PC (Concentra Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.