Individual provider Active NPI

Emmanuel Nwumeh, MD

  • Family Medicine Physician
  • Moline, IL
National Provider Identifier
1164643623
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.117498 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036.117498OtherILILLINOIS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000333 IL Practitioner - Family Practice 9436242484 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
036.117498ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anis Ahmad, M.D., S.C. PastSince May 22, 2008 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.

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

Sources for this page

Verify at the official NPI Registry.