Hasan Rehman
Individual provider Active NPI Interventional Cardiology Physician · O Fallon, IL
NPI 1386028124 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1386028124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 036174583 (IL)
- Practice address
- 3 Saint Elizabeth Blvd Ste 1800
O Fallon, IL 62269-1281 - Phone
- (618) 233-6044
- Fax
- (618) 233-5195
- NPI assigned
- Jul 10, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 20
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Hospital of the Hospital Sisters of the Third Order of St F
Prairie Cardiovascular Consultants LTD
Washington County Hospital District
Practice addresses (Care Compare)
12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2600
3 Saint Elizabeth Blvd
Suite 2800
O Fallon, IL 62269-1099
Phone (618) 233-6044
705 S Grand
Nashville, IL 62263-1534
705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-8236
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
- Cape Fear Valley Medical Center
- Washington County Hospital
- St Josephs Hospital
- St Joseph'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 28.51 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 95.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 16 |
| Leg revascularization (restoring blood flow) | 30 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220427000804 | NC | Practitioner - Peripheral Vascular Disease |
1850795931 | |
| I20250606000296 | IL | Practitioner - Interventional Cardiology | 1850795931 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036174583 | IL | MD | Interventional Cardiology Physician |
| 2021-02904 | NC | MD | Interventional Cardiology Physician |
| R78507 | AZ | MD | Student in an Organized Health Care Education/Training Program |
| BP10053923 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Cardiology, PA | Interventional Cardiology | Current |
Accepting new patients |
| Prairie Cardiovascular Consultants LTD | Current |
Accepting new patients |
Locations
705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200
3 Saint Elizabeth Blvd
Ste 1800
O Fallon, IL 62269
Phone (618) 233-6044
3 Saint Elizabeth Blvd
Ste 2800
O Fallon, IL 62269
Phone (618) 233-6044
619 E Mason St
Ste 4P57
Springfield, IL 62701
619 E Mason St
Ste 4
Springfield, IL 62701
619 E Mason St
#4P57
Springfield, IL 62701
3656 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 221-0300
Interoperability endpoints
- hrehman483689@ewd.direct.hshs.org
- hrehman21325@directhoustonmethodist.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 2021-02904 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10053923 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | R78507 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 036174583 | IL | Yes |
Addresses
Primary practice location
3 Saint Elizabeth Blvd Ste 1800
O Fallon, IL 62269-1281
Mailing address
3 Saint Elizabeth Blvd Ste 1800
O Fallon, IL 62269-1281
Phone (618) 233-6044
Other practice location 1
6565 Fannin St # 1901
Houston, TX 77030-2703
Phone (713) 441-1100
Other practice location 2
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-6743
Other practice location 3
3656 Cape Center Dr
Fayetteville, NC 28304-4406
Phone (910) 321-1012
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hrehman483689@ewd.direct.hshs.org | Direct |
Other providers in O Fallon, IL
- Adela Redzic
- Holly Regel
- Regency Park Medical Group LLC
- Rehab Management Group, LLC
- Rehabilitation Professionals, Inc
- Brian August Reichardt
- Phebe Roseann Reifschneider
- Kenneth G. Reinert
- Ladonna Reives
- Patricia J Relleke
All providers in O Fallon, IL · Interventional Cardiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.