Benedicta O Umoru


Address: 5032 N Illinois St, Suite B, Fairview Heights, IL 62208-3411

Benedicta O Umoru (NPI# 1003836446, PAC ID# 7012901457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1003836446
PAC ID by PECOS 7012901457
Professional Enrollment ID I20040409000250
Full Name Benedicta O Umoru
Address 5032 N Illinois St
Suite B
Fairview Heights
IL 62208-3411
Gender F
Credential MD
Graduation Year 1992
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140185 MEMORIAL HOSPITAL
140307 METRO-EAST SERVICES INC

Other Locations

Address Phone Organization
5032 N Illinois St, Suite B, Fairview Heights, IL 62208-3411

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 4%
ACI_EC_TRANS_PEA_1 Provide Patient Access 4%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 0%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 27%
ACI_EC_TRANS_SM_1 Secure Messaging 2%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 92%

Organization Information

Office Location

Street Address 5032 N ILLINOIS ST
SUITE B
City FAIRVIEW HEIGHTS
State IL
Zip 62208-3411

Physicians in the same location

Name Specialty Organization Address
Mazhar H Lakho Internal Medicine 5032 N Illinois St, Suite A, Fairview Heights, IL 62208-3415

Physicians in the same zip code

Name Specialty Organization Address
Richard C Derby Family Medicine Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Lowell G Sensintaffar Family Medicine Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Anthony Truong Family Medicine Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Tara Helfrich Nurse Practitioner Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Bassim Assioun Nephrology Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Erica P Criss Nurse Practitioner Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Marc D Mccleary Family Medicine Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Kostantinos E Psihramis Urology Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Nell Ann Schmits Hennon Family Medicine Hshs Medical Group Inc 5 Ludwig Dr, Fairview Heights, IL 62208-1332
Mounir Mikhail Shenouda Internal Medicine Fairview Medical Group LLC 331 Salem Pl, Suite 100, Fairview Heights, IL 62208-1340
Find all physicians in zip 62208

Competitor

Search similar physicians

City FAIRVIEW HEIGHTS
Zip Code 62208
Specialty INTERNAL MEDICINE
City + Specialty FAIRVIEW HEIGHTS + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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