Individual provider Active NPI

Qamar U Zaman, M.D.

  • Pediatrics Physician
  • Swansea, IL
National Provider Identifier
1497036552
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036139116 Issued in IL
Practice address
1 Bronze Pointe Blvd Ste 1a
Swansea, IL 62226-1045
Phone
(216) 788-0808
NPI assigned
Sep 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2015004429 MO
Neonatal-Perinatal Medicine Physician 2080N0001X 2014016553 IL
Hospitalist Physician 208M00000X 036139116 IL
Pediatrics Physician 208000000X 036139116 IL Primary

Addresses

Primary practice location

1 Bronze Pointe Blvd Ste 1a
Swansea, IL 62226-1045

Mailing address

866 Revere Dr
Saint Louis, MO 63141-8818
Phone (216) 788-0808

Other practice location 1

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other practice location 2

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 3

1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 774-2715

Other practice location 4

1050 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160215002031 IL Practitioner - Pediatric Medicine 9436451861 Reassigns benefits to 1 organization
I20161219001581 MO Practitioner - Pediatric Medicine 9436451861 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036139116ILMDPediatrics Physician
2015004429MOMDPediatrics Physician
2014016553ILMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Nov 12, 2016 Accepting new patients
SSM Health Care St. Louis Pediatrics CurrentSince Nov 12, 2016 Accepting new patients
Pcrmc Medical Group, Inc Pediatrics CurrentSince Feb 1, 2023 Accepting new patients
Phelps County Regional Medical Center CurrentSince Feb 1, 2023 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Pediatrics CurrentSince Jul 17, 2016 Accepting new patients
Interventional Pain Medicine LLC CurrentSince Aug 23, 2020 Accepting new patients
SSM Cardinal Glennon Children'S Hospital Pediatrics CurrentSince Jul 17, 2016 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Pediatrics Current Accepting new patients
Phelps County Regional Medical Center CurrentSince Feb 1, 2023 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1 Bronze Pointe Blvd
Ste 1A
Swansea, IL 62226
Phone (216) 778-0808

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1497036552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 REVERE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418818",
            "telephone_number": "216-788-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRONZE POINTE BLVD STE 1A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261045",
            "telephone_number": "216-788-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-364-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Gw Ln",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832339",
            "country_code": "US",
            "telephone_number": "573-774-2715",
            "fax_number": "573-202-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-364-9000",
            "fax_number": "573-202-2484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "QAMAR",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-02",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2015004429",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "2014016553",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036139116",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036139116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.