Active NPI
Ibrahim Salim Hawatmeh, M.D.
- Urology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35812
- Practice address
- 12345 W Bend Dr
Suite 200
Saint Louis, MO 63128-2104 - Phone
- (314) 843-8000
- Fax
- (314) 843-3004
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35812 | MO | Primary |
Addresses
Primary practice location
12345 W Bend Dr
Suite 200
Saint Louis, MO 63128-2104
Mailing address
12345 W Bend Dr
Suite 200
Saint Louis, MO 63128-2104
Phone (314) 843-8000
Other names 1
- Dr. Abraham Salim Hawatmeh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12345 W Bend Dr
Suite 200
Saint Louis, MO 63128-2253
Phone (314) 843-8000
Hospital & facility affiliations
- Mercy Hospital South
- St Lukes Hospital
- Mercy Hospital St Louis
- Mercy Hospital Jefferson
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35812 | MO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Lukes Urology, LLC | Urology | Current | Accepting new patients |
| South County Urological, Inc. | Urology | Current | Accepting new patients |
Locations
226 S Woods Mill Rd
Ste 5
Chesterfield, MO 63017
Phone (636) 685-7830
226 S Woods Mill Rd
Ste 52W
Chesterfield, MO 63017
Phone (314) 434-2399
12345 W Bend Dr
Ste 200
Saint Louis, MO 63128
Phone (314) 843-8000
Interoperability endpoints
- abrahamhawatmeh@scu.medalliesdirect.net
- https://app.meldrx.com/api/fhir/uc05427_southcountyurological
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Saint Louis, MO
- NPI 1003824350
-
- Urology Physician
- Chesterfield, MO
- NPI 1619505344
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1669407516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12345 W BEND DR",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282104",
"telephone_number": "314-843-8000",
"fax_number": "314-843-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12345 W BEND DR",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282104",
"telephone_number": "314-843-8000",
"fax_number": "314-843-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWATMEH",
"first_name": "IBRAHIM",
"middle_name": "SALIM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "35812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABRAHAM",
"last_name": "HAWATMEH",
"middle_name": "SALIM",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.