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DR. QAMAR U ZAMAN M.D.
NPI 1497036552
Pediatrics in Swansea, IL

Active since September 02, 2011PECOS Enrolled
1 BRONZE POINTE BLVD STE 1A, SWANSEA, IL 62226(216) 788-0808 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2025, Feb 15, 2023, Aug 13, 2020 and 2 more (5 updates tracked since 2015).

About Dr. Qamar U Zaman M.d. NPPES

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

DR. QAMAR U ZAMAN M.D. (NPI 1497036552) is an individual pediatrics provider in Swansea, Illinois, licensed in Illinois (036139116) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1497036552
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. QAMAR U ZAMANCredential: M.D.
Location Address1 BRONZE POINTE BLVD STE 1ASwansea, IL 62226-1045
Mailing Address866 Revere DrSaint Louis, MO 63141-8818 · (216) 788-0808
Phone(216) 788-0808
Sole ProprietorNo
Enumeration DateSeptember 2, 2011
Last NPPES UpdateApril 3, 20255 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1497036552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036139116✔ Licensed in MO · 2015004429
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 2014016553 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036139116 (IL)
1 BRONZE POINTE BLVD STE 1A, Swansea, IL 62226
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Secondary Practice Locations 3

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899
Location 21000 Gw LnWaynesville, MO 65583-2339 · Phone (573) 774-2715 · Fax (573) 202-2410
Location 31050 W 10th StRolla, MO 65401-2905 · Phone (573) 364-9000 · Fax (573) 202-2484

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Qamar U Zaman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Qamar Zaman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Cardinal Glennon Childrens Hospital
4.9 mi
Pediatrics
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 76 clinicians in this Medicare group
NPI 1174577670 (618) 234-2120
Ssm Health Care St. Louis
18 mi
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1366400855 (314) 768-8000
Phelps County Regional Medical Center
97 mi
Rural Health
1000 N JEFFERSON STREET
St. James, MO 65559
  • Reassigned Medicare billing, Missouri enrollment
  • 195 clinicians in this Medicare group
NPI 1457799520 (573) 265-8840
Pcrmc Medical Group, Inc
105 mi
Clinic/Center
1050 W 10TH ST
Rolla, MO 65401
  • Reassigned Medicare billing, Missouri enrollment
  • 145 clinicians in this Medicare group
NPI 1124237227 (573) 364-9000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 2

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

MRS. ASHLEY RENEE BINGMAN FNP-C
Nurse Practitioner
1 BRONZE POINTE BLVD STE 1A
SWANSEA, IL 62226
St. Clair County (618) 233-7055
MOONLIGHT PEDIATRICS LLC
Pediatrics
1 BRONZE POINTE BLVD STE 1A
SWANSEA, IL 62226
St. Clair County (216) 778-0808

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 Qamar Zaman's NPI number?

The NPI number for Qamar Zaman is 1497036552. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Where is Qamar Zaman located?

Qamar Zaman practices at 1 Bronze Pointe Blvd Ste 1A, Swansea, IL 62226. The listed phone number is (216) 788-0808.

What is Qamar Zaman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Qamar Zaman enrolled in Medicare?

Yes. Qamar Zaman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Qamar Zaman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Qamar Zaman reassigns Medicare benefits to 4 organizations: Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL), Ssm Health Care St. Louis (Saint Louis, MO), Phelps County Regional Medical Center (St. James, MO) and Pcrmc Medical Group, Inc (Rolla, MO). Each 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 Qamar Zaman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Qamar Zaman accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Qamar Zaman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Qamar Zaman was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.