Active NPI
Mike C. Umerah, M.D. Inc.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike C Umerah, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158107001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Little Rock, AR
- NPI 1033195649
-
- Acute Care Nurse Practitioner
- Fayetteville, AR
- NPI 1528172095
-
- Specialist
- Batesville, AR
- NPI 1699776104
-
- Internal Medicine Physician
- Searcy, AR
- NPI 1134184633
-
- Hospitalist Physician
- Rogers, AR
- NPI 1831115047
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.