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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: August 16, 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.

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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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Omar Maatouk accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield and Oscar Insurance Company 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.