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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ibrahim Omore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Medical Services, Nfp
5.0 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 18

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

SOUTHERN ILLINOIS HOSPITAL SERVICES
Clinical Medical Laboratory
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
SOUTHERN ILLINOIS HOSPITAL SERVICES
Clinic/Center (Physical Therapy)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
MARY K CHAPMAN NP
Nurse Practitioner
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
SOUTHERN ILLINOIS HOSPITAL SERVICES
Clinic/Center (Oncology, Radiation)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
MRS. LAKSHMI MANOGNA CHINTALACHERUVU MD
Internal Medicine (Hematology & Oncology)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC
Radiology (Radiation Oncology)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
SOUTHERN ILLINOIS HOSPITAL SERVICES
Clinic/Center (Infusion Therapy)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333
NIYATEE DIPAK PATEL MD
Family Medicine (Hospice and Palliative Medicine)
1400 PIN OAK DR
CARTERVILLE, IL 62918
Williamson County (618) 985-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ibrahim Omore located?

Ibrahim Omore practices at 1400 Pin Oak Dr, Carterville, IL 62918. The listed phone number is (618) 985-3333.

What is Ibrahim Omore's specialty?

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

Is Ibrahim Omore enrolled in Medicare?

Yes. Ibrahim Omore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ibrahim Omore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Omore reassigns Medicare benefits to Southern Illinois Medical Services, Nfp (Carbondale, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ibrahim Omore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ibrahim Omore affiliated with any hospitals?

According to CMS data, Ibrahim Omore is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center and St Joseph Memorial Hospital.

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 14 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.