Active NPI
Imran Umer, MD
- Rheumatology Physician
- Meridian, MS
National Provider Identifier
1780939660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25048
- Practice address
- 2024 15TH St FL 2
Meridian, MS 39301-4130 - Phone
- (601) 553-2000
- Fax
- (601) 581-1746
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25048 | MS | Primary |
Addresses
Primary practice location
2024 15TH St FL 2
Meridian, MS 39301-4130
Mailing address
2024 15TH St FL 2
Meridian, MS 39301-4130
Phone (601) 553-2000
Other practice location 1
701 W 5th Street
Odessa, TX 79763
Phone (432) 335-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230615001890 | IL | Practitioner - Internal Medicine | 7517238801 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Saint Francis Medical Center
- St Joseph Medical Center
- St Mary Medical Center
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Luke Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25048 | MS | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multispecialty Group - Eastern Region, LLC | Past | Accepting new patients | |
| Cardinal Medical Group, LTD. | Past | Accepting new patients |
Locations
1800 N Knoxville Ave
Ste E
Peoria, IL 61603
Phone (309) 308-0910
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Interoperability endpoints
- iumer364694@direct.hfhs.org
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Multi-Specialty Clinic/Center
- Peoria, IL
- NPI 1992829485
-
- Internal Medicine Physician
- Bloomington, IL
- NPI 1487881058
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780939660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 15TH ST FL 2",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014130",
"telephone_number": "601-553-2000",
"fax_number": "601-553-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 15TH ST FL 2",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014130",
"telephone_number": "601-553-2000",
"fax_number": "601-581-1746"
}
],
"practiceLocations": [
{
"address_1": "701 W 5th Street",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "79763",
"country_code": "US",
"telephone_number": "432-335-1777",
"fax_number": "432-335-1815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UMER",
"first_name": "IMRAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MS",
"license": "25048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.