NPIMap

Individual provider Active NPI

Hasan Rehman

  • Interventional Cardiology Physician
  • O'Fallon, IL
National Provider Identifier
1386028124
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036174583 Issued in 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
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

3656 Cape Center Dr
Fayetteville, NC 28304-4406
Phone (910) 321-1012

Other practice location 3

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-6743

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hrehman483689@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL2 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
I20220427000804 NC Practitioner - Peripheral Vascular DiseasePractitioner - Interventional Cardiology 1850795931
I20250606000296 IL Practitioner - Interventional Cardiology 1850795931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County Hospital DistrictGroup PAC ID 4880599844, shared by 4 NPIs, 21 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
28.51 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
95.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Leg revascularization (restoring blood flow)30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021-02904NCMDInterventional Cardiology Physician
BP10053923TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cardiology, PA Interventional Cardiology CurrentSince May 1, 2022 Accepting new patients
Prairie Cardiovascular Consultants LTD CurrentSince Jul 1, 2025 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
#4P57
Springfield, IL 62701

619 E Mason St
Ste 4
Springfield, IL 62701

619 E Mason St
Ste 4P57
Springfield, IL 62701

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

3656 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 221-0300

Interoperability endpoints

  • Direct secure messaging: hrehman21325@directhoustonmethodist.org
  • Direct secure messaging: hrehman483689@ewd.direct.hshs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1386028124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 1800",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691281",
            "telephone_number": "618-233-6044",
            "fax_number": "618-233-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 1800",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691281",
            "telephone_number": "618-233-6044",
            "fax_number": "618-233-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St # 1901",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-441-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3656 Cape Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044406",
            "country_code": "US",
            "telephone_number": "910-321-1012",
            "fax_number": "910-321-1022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-6743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "HASAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2021-02904",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10053923",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R78507",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036174583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hrehman483689@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3 Saint Elizabeth Blvd Ste 1800",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.