DR. IBRAHIM DARE OMORE M.D
NPI 1245896034
Internal Medicine - Hematology & Oncology in Carterville, IL

Q: What is Ibrahim Omore's NPI number?

The NPI number for Ibrahim Omore is 1245896034. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Q: What is Ibrahim Omore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Ibrahim Omore was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2019PECOS EnrolledAccepts Medicare Assignment

1400 PIN OAK DR, CARTERVILLE, IL 62918(618) 985-3333(618) 985-1318 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Aug 9, 2023, Jul 3, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Ibrahim Dare Omore M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IBRAHIM DARE OMORE M.D (NPI 1245896034) is an individual hematology & oncology provider in Carterville, Illinois, licensed in Illinois (036172695) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1245896034

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. IBRAHIM DARE OMORECredential: M.D

Location Address1400 PIN OAK DRCarterville, IL 62918-1600

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 985-3333

Fax(618) 985-1318

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 16, 2019

Last NPPES UpdateAugust 7, 20254 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1245896034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in IL · 036172695

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1400 PIN OAK DR, Carterville, IL 62918

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Secondary Practice Location 1

Location 1506 Lenox Avenue, Rm. 13-106-MLKNew York, NY 10037 · Phone (212) 939-1000 · Fax (212) 939-1462

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ibrahim Dare Omore M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052826245

PECOS Enrollment IDI20250716001499

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62918 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY K CHAPMAN NP

Nurse Practitioner