DR. UMAR DARR M.D.
NPI 1689092041
Internal Medicine in Houston, TX

Q: What is Umar Darr's NPI number?

The NPI number for Umar Darr is 1689092041. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Q: What is Umar Darr's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Umar Darr was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 April 02, 2014PECOS EnrolledAccepts Medicare Assignment

68.93/100

CMS Quality Rating

6565 FANNIN ST, HOUSTON, TX 77030(419) 392-6168 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2020, Feb 12, 2020, Aug 26, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Umar Darr M.d. NPPES

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

DR. UMAR DARR M.D. (NPI 1689092041) is an individual internal medicine provider in Houston, Texas, licensed in Texas (S0654) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Huntsville Memorial Hospital, and maintains a secondary practice location in Sugar Land.

NPPES Registry Identity

NPI1689092041

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. UMAR DARRCredential: M.D.

Location Address6565 FANNIN STHouston, TX 77030-2703

Mailing Address16605 Southwest Fwy, Ste 175Sugar Land, TX 77479-0003 · (713) 885-5885 · Fax (832) 672-7158

Phone(419) 392-6168

Sole ProprietorYes

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2014

Enumeration DateApril 2, 2014

Last NPPES UpdateMay 6, 20204 updates tracked since enumeration

NPPES CertifiedMay 6, 2020

✔ NPI 1689092041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · S0654✔ Licensed in OH · 130080

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6565 FANNIN ST, Houston, TX 77030

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Secondary Practice Location 1

Location 116605 SOUTHWEST FWY, STE 175SUGAR LAND, TX 77479-0003 · Phone (713) 885-5885 · Fax (832) 672-7158

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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. Umar Darr 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 ID9032413901

PECOS Enrollment IDI20190823000093

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

807 services206 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

404 services345 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

145 services53 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

106 services97 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

75 services71 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

74 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Huntsville Memorial Hospital

Acute Care Hospitals · Huntsville, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450347

Location110 Memorial Hospital DriveHuntsville, TX 77340 · Walker County

Emergency services Birthing friendly

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450644

Location12141 Richmond AveHouston, TX 77082 · Harris County

Emergency services Birthing friendly

Hca Houston Healthcare Medical Center

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450659

Location1313 Hermann DrHouston, TX 77004 · Harris County

Emergency services

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670077

Location18500 Katy FreewayHouston, TX 77094 · Harris County

Emergency services Birthing friendly

Altus Baytown Hospital

Acute Care Hospitals · Baytown, TX

OwnershipPhysician

CMS Certification Number670109

Location1626 W Baker RoadBaytown, TX 77521 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

97.15

Improvement Activities

Cost

83.57

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier11 claims11 services$43.73 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers41 claims41 services$40.80 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers21 claims21 services$12.97 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims11 services$4.64 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers50 claims50 services$60.75 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers31 claims31 services$29.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

SMAROULA DILIOGLOU PHD

Specialist/Technologist, Pathology

6565 FANNIN ST, MS205
HOUSTON, TX 77030

Harris County (713) 394-6450

MS. PRISCILLA DIAZ RN

Registered Nurse

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-2030

HOUSTON METHODIST CARDIOVASCULAR ANESTHESIA

Anesthesiology

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 667-6097

LAN ZHOU MD

Pathology (Anatomic Pathology & Clinical Pathology)

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 394-6450

DR. AMANDA WALTON BASFORD M.D.

Internal Medicine (Nephrology)

6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030

Harris County (713) 441-0006

MRS. AMY REYES MICLAT RN, MS, CCRN, APRN-B

Nurse Practitioner (Acute Care)

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-4999

DR. MAHEEN ADAM WARDAK MD

Anesthesiology

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-2194

DR. SHUANG LI M.D.

Hospitalist

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 368-9466

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 Umar Darr's NPI number?

The NPI number for Umar Darr is 1689092041. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Umar Darr located?

Umar Darr practices at 6565 Fannin St, Houston, TX 77030. The listed phone number is (419) 392-6168.

What is Umar Darr's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Umar Darr enrolled in Medicare?

Yes. Umar Darr 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.

What insurance does Umar Darr accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Umar Darr 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.

Is Umar Darr affiliated with any hospitals?

According to CMS data, Umar Darr is affiliated with Huntsville Memorial Hospital, Hca Houston Healthcare West, Hca Houston Healthcare Medical Center, Houston Methodist West Hospital and Altus Baytown Hospital.

When was this NPI record last updated?

The NPPES record for Umar Darr was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.