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OMAR MAATOUK M.D.
NPI 1720428915
Pediatrics in Florissant, MO

Active since July 02, 2013PECOS Enrolled
4129 N HIGHWAY 67, FLORISSANT, MO 63034(314) 355-6390 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2020, Nov 12, 2019, Oct 3, 2019 and 1 more (4 updates tracked since 2016).

About Omar Maatouk M.d. NPPES

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

OMAR MAATOUK M.D. (NPI 1720428915) is an individual pediatrics provider in Florissant, Missouri, licensed in Missouri (2019039182) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seaford.

NPPES Registry Identity

NPI1720428915
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameOMAR MAATOUKCredential: M.D.
Location Address4129 N HIGHWAY 67Florissant, MO 63034-2825
Mailing Address4129 N Highway 67Florissant, MO 63034-2825 · (314) 355-6390
Phone(314) 355-6390
Sole ProprietorNo
Enumeration DateJuly 2, 2013
Last NPPES UpdateNovember 3, 20204 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
✔ NPI 1720428915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MO · 2019039182✔ Licensed in DE · C10011752
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 ListedGeneral PracticeTaxonomy 208D00000X · License C10011752 (DE)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4129 N HIGHWAY 67, Florissant, MO 63034
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Secondary Practice Location 1

Location 149 Fallon AveSeaford, DE 19973-1577 · Phone (302) 629-5030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omar Maatouk 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

2

Medicare enrollment records show Omar Maatouk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis
9.5 mi
Cardiovascular Disease
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1376598599 (314) 344-6000
Ssm Cardinal Glennon Childrens Hospital
17 mi
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1073568226 (314) 268-4070

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 63034 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

COURTNEY MAXEY DNP, APRN, PNP-PC
Nurse Practitioner (Pediatrics)
4129 N HIGHWAY 67
FLORISSANT, MO 63034
St. Louis County (314) 778-3415
DR. ROBERT H STRASHUN MD
Pediatrics
4129 N HIGHWAY 67
FLORISSANT, MO 63034
St. Louis County (314) 355-6390

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 Omar Maatouk's NPI number?

The NPI number for Omar Maatouk is 1720428915. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Omar Maatouk located?

Omar Maatouk practices at 4129 N Highway 67, Florissant, MO 63034. The listed phone number is (314) 355-6390.

What is Omar Maatouk's specialty?

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

Is Omar Maatouk enrolled in Medicare?

Yes. Omar Maatouk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Omar Maatouk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Maatouk reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Bridgeton, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, 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 Omar Maatouk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Maatouk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Omar Maatouk 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 Omar Maatouk was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.