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

Dr. Muhammad Omer Mumtaz Ansari, MD

Individual provider Family Medicine Physician · NPI 1770787673

Dr. Muhammad Omer Mumtaz Ansari, MD is a Family Practice in Bolingbrook, Illinois. Qualified in 2002, 24 years ago. Practices with Adventist Health Partners, Inc, a 253-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Indiana.

Years since qualifying
24
Licensed in
IL, IN
In the registry since
2007
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

396 Remington Blvd Ste 380
Bolingbrook, IL 60440-4315
Phone: (242) 273-4000
Fax: (224) 273-4027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-126472 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01068102A (IN)

Record details

NPI number1770787673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESNovember 18, 2023
Certification dateNovember 18, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Adventist Health Partners, Inc. — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Bolingbrook