Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alvan Chibueze Omeni, MD

Individual provider Pediatrics Physician · NPI 1285965855

Dr. Alvan Chibueze Omeni, MD is a Pediatric Medicine in Saint Louis, Missouri. Qualified in 1997, 29 years ago. Practices with Mercy Clinic Pulmonology - St Louis, LLC, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
29
Licensed in
MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12700 Southfork Rd Ste 280
Saint Louis, MO 63128-3287
Phone: (314) 892-6565
Fax: (314) 892-4828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence 2011039119 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2011039119 (MO)

Record details

NPI number1285965855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 21, 2010
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Mercy Clinic Pulmonology - St. Louis, Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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