Individual provider Active NPI

Qamar Mohammad Hussein Al Tinawi, MBBS

  • Endocrinology, Diabetes & Metabolism Physician
  • Belleville, IL
National Provider Identifier
1629641881
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2024018748 Issued in MO
Practice address
180 S 3Rd St Ste 200
Belleville, IL 62220-1952
Phone
(531) 239-6564
NPI assigned
Jul 23, 2021
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9155 NE
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2024018748 MO Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036.177671 IL

Addresses

Primary practice location

180 S 3Rd St Ste 200
Belleville, IL 62220-1952

Mailing address

15247 Kingsman Cir
Chesterfield, MO 63017-7412
Phone (531) 239-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250911000481 MO Order and Referring Only - EndocrinologyPractitioner - Endocrinology 7618371097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036.177671ILMDEndocrinology, Diabetes & Metabolism Physician
2024018748MOMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1629641881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15247 KINGSMAN CIR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177412",
            "telephone_number": "531-239-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST STE 200",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "531-239-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL TINAWI",
        "first_name": "QAMAR",
        "middle_name": "MOHAMMAD HUSSEIN",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "9155",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2024018748",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036.177671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.