Individual provider Active NPI

Umer Muhammad, M.D.

  • Pediatrics Physician
  • Joplin, MO
National Provider Identifier
1629698865
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2023026711 Issued in MO
Practice address
202 E 50TH St
Joplin, MO 64804-4920
Phone
(417) 556-3416
Fax
(417) 556-3417
NPI assigned
Apr 17, 2020
Reactivated
Feb 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2023026711 MO Primary

Addresses

Primary practice location

202 E 50TH St
Joplin, MO 64804-4920

Mailing address

202 E 50TH St
Joplin, MO 64804-4920
Phone (417) 556-3416

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
I20230815000414 MO Practitioner - Pediatric Medicine 1557780947 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023026711MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Aug 1, 2023 Accepting new patients
Mercy Hospital Joplin Past Accepting new patients

Locations

202 E 50th St
Joplin, MO 64804
Phone (417) 556-3400

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1629698865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E 50TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044920",
            "telephone_number": "417-556-3416",
            "fax_number": "417-556-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 50TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044920",
            "telephone_number": "417-556-3416",
            "fax_number": "417-556-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "UMER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "deactivation_date": "2022-01-10",
        "reactivation_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2023026711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.