PAPPA UMONOIBALO EHIMARE (MD) – Psychiatry Physician, NPI 1730291154
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
821 PSYCHIATRY in MO
Provider Addresses for PAPPA UMONOIBALO EHIMARE (MD)
101 Progress Pkwy
Sullivan, MO 630802359
Phone: (888) 403-1071
Type: Location
1800 Community
Clinton, MO 647358804
Phone: (888) 403-1071
Type: Location
102 Compass Point Dr
Saint Charles, MO 633014404
Phone: (888) 403-1071
Type: Location
616 Burkarth Rd
Warrensburg, MO 640931462
Phone: (888) 403-1071
Type: Location
1450 E 10th St
Rolla, MO 654013648
Phone: (888) 403-1071
Type: Location
Castle Clinton National Monument, Manhattan Community Board 1, Manhattan, New York County, New York, Stone Street Historic District, New York, United States
CLINTON, MO 647358804
Phone: (660) 890-8183
Fax: (660) 890-8183
Type: Mailing
1032, Crosswinds Court, Wentzville, Saint Charles County, Missouri, 63385, United States
WENTZVILLE, MO 633854836
Phone: (888) 403-1071
Fax: (636) 332-8213
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-01-03 • Largest payer in this snapshot: ITI, Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081009000223 | I | Psychiatry | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63080)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E N T I S T | MO | |
| - | MO | |
| - | MO | |
| Clinical Social Worker | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO |
Reviews
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