Organization Active NPI

Onuorah Umeh, MD, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1801836325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD039262L Issued in PA
Legal business name
ONUORAH UMEH, MD, PC
Practice address
4237 Baltimore Ave
Philadelphia, PA 19104-4411
Phone
(215) 382-1040
Fax
(215) 382-1047
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Onuorah Ike Umeh, M.D.NPI 1972557387
Title
President
Phone
(215) 382-1040

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD039262L PA Primary

Addresses

Primary practice location

4237 Baltimore Ave
Philadelphia, PA 19104-4411

Mailing address

4237 Baltimore Ave
Philadelphia, PA 19104-4411
Phone (215) 382-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091202000301 PA Part B Supplier - Clinic/Group Practice 3375682412 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801836325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 BALTIMORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044411",
            "telephone_number": "215-382-1040",
            "fax_number": "215-382-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 BALTIMORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044411",
            "telephone_number": "215-382-1040",
            "fax_number": "215-382-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONUORAH UMEH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UMEH",
        "authorized_official_first_name": "ONUORAH",
        "authorized_official_middle_name": "IKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-382-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD039262L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.