Organization Active NPI

Mike C. Umerah, M.D. Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Little Rock, AR
National Provider Identifier
1346862703
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
MIKE C. UMERAH, M.D. INC.
Practice address
500 S University Ave Ste 705
Little Rock, AR 72205-5372
Phone
(501) 664-2991
Fax
(501) 664-7111
NPI assigned
May 8, 2020
Organization subpart
Yes
Parent organization
MIKE C. UMERAH, M.D. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Mike C Umerah, MDNPI 1033195649
Title
Ceo
Phone
(501) 664-2991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

500 S University Ave Ste 705
Little Rock, AR 72205-5372

Mailing address

500 S University Ave Ste 705
Little Rock, AR 72205-5372
Phone (501) 664-2991

Other practice location 1

1109 S Main St
Searcy, AR 72143-7318
Phone (501) 305-4881

Other identifiers 1

IdentifierTypeStateIssuer
158107001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914002132 AR Part B Supplier - Clinic/Group Practice 5597140368 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR; Searcy, AR

National Provider Directory

National Provider Directory
Part of
Mike C Umerah MD Inc

Locations

500 S University Ave
Ste 705
Little Rock, AR 72205
Phone (501) 664-2991

1109 S Main St
Searcy, AR 72143
Phone (501) 268-7557

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1346862703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 705",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055372",
            "telephone_number": "501-664-2991",
            "fax_number": "501-664-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 705",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055372",
            "telephone_number": "501-664-2991",
            "fax_number": "501-664-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 S Main St",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721437318",
            "country_code": "US",
            "telephone_number": "501-305-4881",
            "fax_number": "501-305-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIKE C. UMERAH, M.D. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIKE C. UMERAH, M.D. INC.",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "UMERAH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-664-2991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158107001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.