Individual provider Active NPI

Aiman H Hawasli, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Highland, IL
National Provider Identifier
1538144019
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
036050692 Issued in IL
Practice address
1270 Mercantile Dr
Highland, IL 62249-1256
Phone
(618) 651-8097
Fax
(618) 651-8097
NPI assigned
Dec 7, 2005
Last updated
Nov 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 036050692 IL Primary

Addresses

Primary practice location

1270 Mercantile Dr
Highland, IL 62249-1256

Mailing address

1280 Mercantile Dr
Highland, IL 62249-1256
Phone (618) 654-8985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pamella S Gronemeyer Clinical Pathology/Laboratory Medicine CurrentSince Sep 5, 2012 Accepting new patients
WCP Pathology, PC Clinical Pathology/Laboratory Medicine PastSince Oct 18, 2018 Accepting new patients
Semc Pathology PastSince Sep 5, 2012 Accepting new patients

Locations

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

1270 Mercantile Dr
Highland, IL 62249
Phone (618) 274-1900

1280 Mercantile Dr
Highland, IL 62249

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1538144019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 MERCANTILE DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491256",
            "telephone_number": "618-654-8985",
            "fax_number": "618-651-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 MERCANTILE DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491256",
            "telephone_number": "618-651-8097",
            "fax_number": "618-651-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWASLI",
        "first_name": "AIMAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "IL",
            "license": "036050692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.