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HEARTLAND MEDICAL CENTER LLC
NPI 1912927351
Internal Medicine in Fairview Heights, IL

Active since July 20, 2006
5032 N ILLINOIS ST, SUITE B, FAIRVIEW HEIGHTS, IL 62208(618) 416-9005(618) 641-9452 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heartland Medical Center Llc NPPES

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

HEARTLAND MEDICAL CENTER LLC (NPI 1912927351) is a healthcare organization registered as an internal medicine in Fairview Heights, Illinois and active in the NPI registry since July 2006. The organization lists Benedicta Umoru, Physician, as its authorized official.

NPPES Registry Identity

NPI1912927351
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHEARTLAND MEDICAL CENTER LLC
Location Address5032 N ILLINOIS ST, SUITE BFairview Heights, IL 62208-3415
Mailing AddressPo Box 2015Fairview Heights, IL 62208-0215 · (618) 355-9970 · Fax (618) 355-9972
Phone(618) 416-9005
Fax(618) 641-9452
Organization SubpartNo
Authorized OfficialBenedicta UmoruPhysician · (618) 416-9005
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 13, 2016
✔ NPI 1912927351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036100162
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.
5032 N ILLINOIS ST, Fairview Heights, IL 62208
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Other Identifiers 6

Medicaid036100162IL
OtherDD7462Rr Medicare
Medicare PINK14023
Medicare UPINH17094
Other08232145IL · Bcbs
Medicare PIN210779

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heartland Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Heartland Medical Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Benedicta Umoru, MD
Internal Medicine
NPI 1003836446
5032 N ILLINOIS ST STE B
Fairview Heights, IL 62208
(618) 416-9005
✔ PECOS✔ Accepts MedicareSame address

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

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 Heartland Medical Center LLC's NPI number?

The NPI number for Heartland Medical Center LLC is 1912927351. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Heartland Medical Center LLC located?

Heartland Medical Center LLC is located at 5032 N Illinois St Suite B, Fairview Heights, IL 62208. The listed phone number is (618) 416-9005.

What is Heartland Medical Center LLC's specialty?

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

Is Heartland Medical Center LLC enrolled in Medicare?

Yes. Heartland Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heartland Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Heartland Medical Center LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heartland Medical Center LLC was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.