NPIMap

Individual provider Active NPI

Ahsan Usman, MD

  • Hospitalist Physician
  • Belleville, IL
National Provider Identifier
1215016571
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036-121212 Issued in IL
Practice address
4500 Memorial Dr
Belleville, IL 62226-5360
Phone
(618) 257-6220
NPI assigned
Nov 6, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35088242 OH
Nephrology Physician 207RN0300X 036-121212 IL
Hospitalist Physician 208M00000X 036-121212 IL Primary

Addresses

Primary practice location

4500 Memorial Dr
Belleville, IL 62226-5360

Mailing address

670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573
Phone (314) 996-7600

Other practice location 1

1021 Court Street
Suite B
Pekin, IL 61554-4807
Phone (309) 642-6705

Other identifiers 3

IdentifierTypeStateIssuer
1215016571MedicaidMO
3810007764MedicaidWV
2703828MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080823000101 IL Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Hospitalist 6507864998 Reassigns benefits to 8 organizations
I20091119000437 MO Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Emergency Medicine 6507864998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Rashid a Dalal MD PCGroup PAC ID 2163459348, 5 clinicians
Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, shared by 35 NPIs, 117 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

1021 Court St
Suite B
Pekin, IL 61554-4807
Phone (309) 642-6705

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

129 N 8TH St
E Saint Louis, IL 62201-2917
Phone (618) 274-1900

129 N Eight St 3Rd FL
E Saint Louis, IL 62201-2917
Phone (618) 482-7050

2041 Goose Lake Rd
Sauget, IL 62206-2822

2071 Goose Lake Rd
Sauget, IL 62206-2822
Phone (618) 857-2700

2100 Madison Ave
Granite City, IL 62040-4701
Phone (618) 798-3000

2120 Madison Ave
Suite 206
Granite City, IL 62040-4747
Phone (618) 239-9500

5003 N Illinois St
Suite 1
Fairview Heights, IL 62208-3419
Phone (618) 239-9500

5105 W Main St
Belleville, IL 62226-4728
Phone (618) 239-9500

6 Indian Creek LN
Frontenac, MO 63131-3333
Phone (309) 642-6705

9 American VLG
Granite City, IL 62040-3706
Phone (618) 452-5858

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-121212ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Mar 4, 2020 Accepting new patients
Cep America - Illinois Hospitalists, LLP Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
SSM Health Care Group Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Jun 6, 2019 Accepting new patients
Cogent Healthcare of Illinois, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
KND Development 59 LLC Hospitalist CurrentSince Aug 25, 2019 Accepting new patients
Southern Illinois Healthcare Foundation Inc Internal Medicine Current Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Nov 1, 2019 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Mar 4, 2020 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Dec 1, 2022 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jun 6, 2019 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2024 Accepting new patients
KND Development 59 LLC Hospitalist Current Accepting new patients
SSM Medical Group Inc. Past Accepting new patients
Well Care Rehabilitation PastSince Jul 1, 2024 Accepting new patients
Au Well Care Home Inc PastSince Jun 1, 2024 Accepting new patients
Home Dialysis Therapies, Inc PastSince Jul 15, 2018 Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients
Red Bud Illinois Hospital Company, LLC Past Accepting new patients
Helia Southbelt Healthcare, LLC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-1320

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250

Interoperability endpoints

  • Direct secure messaging: ahsan.usman.2@9559.direct.athenahealth.com
  • Direct secure messaging: ahsan.usman@direct.davitaphysiciansolutions.com
  • Direct secure messaging: ausman02@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Breeze HospiceSwansea, IL, CCN 141659 Hospice Contracted Managing Employee May 9, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1215016571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "314-996-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-257-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Court Street",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Pekin",
            "state": "IL",
            "postal_code": "615544807",
            "country_code": "US",
            "telephone_number": "309-642-6705",
            "fax_number": "309-347-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "USMAN",
        "first_name": "AHSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35088242",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-121212",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036-121212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215016571",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007764",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703828",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.