Individual provider Active NPI

Fatema Mewa, MD

  • Hospitalist Physician
  • Peoria, IL
National Provider Identifier
1861044547
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
U7473 Issued in TX
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 624-8818
NPI assigned
Jul 12, 2019
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X U7473 TX Primary
Internal Medicine Physician 207R00000X 036.147863 IL
Internal Medicine Physician 207R00000X U7473 TX

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

920 Frostwood Dr Ste 2300 FL 2
Houston, TX 77024-2314

Other practice location 1

6326 Cermak Rd
Berwyn, IL 60402-2304
Phone (708) 303-9234

Other practice location 2

27800 NW Fwy Ste 4201
Cypress, TX 77433-5302
Phone (346) 231-4628

Other practice location 3

18951 N Memorial Dr Ste 103W
Humble, TX 77338-4217
Phone (281) 540-8409

Other practice location 4

9250 Pinecroft Dr N2 101
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Other practice location 5

19310 S Halsted St
Glenwood, IL 60425-1562
Phone (708) 300-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190826001368 IL Practitioner - Internal Medicine 4284962416 Reassigns benefits to 1 organization
I20240314001733 TX Practitioner - Internal Medicine 4284962416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.147863ILMDInternal Medicine Physician
U7473TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical Center Berwyn, LLC CurrentSince Oct 1, 2021 Accepting new patients
PMR Illinois Holding, LLC CurrentSince Jan 1, 2022 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1000 Park Centre Blvd
Ste 136
Miami Gardens, FL 33169
Phone (305) 621-0023

6326 Cermak Rd
Berwyn, IL 60402
Phone (708) 303-9234

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

19310 S Halsted St
Glenwood, IL 60425
Phone (708) 300-3132

27800 NW Freeway
Ste 4201
Cypress, TX 77433
Phone (346) 231-4628

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

18951 N Memorial Dr
Ste 103W
Humble, TX 77338
Phone (281) 540-7700

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

9250 Pinecroft Dr
#N2
Shenandoah, TX 77380
Phone (713) 897-2307

9250 Pinecroft Dr
#N2101
Shenandoah, TX 77380
Phone (713) 897-2307

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1861044547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR STE 2300 FL 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-624-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6326 Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604022304",
            "country_code": "US",
            "telephone_number": "708-303-9234",
            "fax_number": "773-729-2074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27800 NW Fwy Ste 4201",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774335302",
            "country_code": "US",
            "telephone_number": "346-231-4628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18951 N Memorial Dr Ste 103W",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384217",
            "country_code": "US",
            "telephone_number": "281-540-8409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9250 Pinecroft Dr N2 101",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803218",
            "country_code": "US",
            "telephone_number": "713-897-2307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19310 S Halsted St",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "IL",
            "postal_code": "604251562",
            "country_code": "US",
            "telephone_number": "708-300-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEWA",
        "first_name": "FATEMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "U7473",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.147863",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U7473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.