Ibrahim Suleman Umar, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R8426 Issued in MO

Practice address

4200 N Cloverleaf Dr
Suite N
Saint Peters, MO 63376-6436

Phone

(636) 922-9182

Fax

(636) 922-9183

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811003890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREEN NUMBER 10 DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035093",
            "telephone_number": "636-946-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N CLOVERLEAF DR",
            "address_2": "SUITE N",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766436",
            "telephone_number": "636-922-9182",
            "fax_number": "636-922-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAR",
        "first_name": "IBRAHIM",
        "middle_name": "SULEMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R8426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel D Twillmann, DMD
• Tyr I
• David A Uffenbeck
• Leticia Ugarte, MD
• Melissa R Ulrich, COTA/L
• Jessica Lynn Underhill, DO
• James L. Unger, D.M.D., M.S.
• United Home Health Care LLC
• Urology of St. Louis, Inc.
• Amy M Urzi, RPH

• Pediatrics Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.