Active NPI
Isam S Hawatmeh, M D
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1811930092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R7D78
- Practice address
- 12345 W Bend Dr Ste 304
Saint Louis, MO 63128-2256 - Phone
- (314) 722-2500
- Fax
- (314) 645-8244
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R7D78 | MO | Primary |
Addresses
Primary practice location
12345 W Bend Dr Ste 304
Saint Louis, MO 63128-2256
Mailing address
12345 W Bend Dr Ste 304
Saint Louis, MO 63128-2256
Phone (314) 722-2500
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110163355 | Other | MO | RRMCR |
| 20315 | Other | MO | HEALTHCARE |
| 26810 | Other | MO | BLUE CROSS |
| 1140267 | Other | MO | CARE PARTNER |
| PC23505 | Other | MO | CIGNA |
| 125694 | Other | MO | HEALTHLINK |
| 178V178 | Other | MO | GHP |
| 305572 | Other | MO | PARTNER HMO |
| 889041 | Other | MO | COMMUNITY |
| STL040029 | Other | MO | UNITED HEALTHCARE |
| 178V178 | Other | MO | CMR |
| STM040053 | Other | MO | MED COMP |
| 1125337 | Other | MO | FIRST HORIZON |
| 1811930092 | Other | MO | ANY INSURANCES |
| 202132114 | Medicaid | MO | |
| 26810 | Other | MO | BLUE CHOICE |
| 431540492 | Other | MO | COMMERICAL |
Other names 1
- Dr. Sam S 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
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12345 W Bend Dr
Suite 304
Saint Louis, MO 63128-2256
Phone (314) 722-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7D78 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam Hawatmeh, M D, P C | Internal Medicine | Current | Accepting new patients |
Locations
6651 Chippewa St
Ste 202
Saint Louis, MO 63109
Phone (314) 645-8200
12345 W Bend Dr
Ste 304
Saint Louis, MO 63128
Phone (314) 722-2500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJIDCA/Endpoint/GJIDCA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1952345795
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
dba St. Luke's Hospital
- 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": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1811930092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12345 W BEND DR STE 304",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282256",
"telephone_number": "314-722-2500",
"fax_number": "314-722-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12345 W BEND DR STE 304",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282256",
"telephone_number": "314-722-2500",
"fax_number": "314-645-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWATMEH",
"first_name": "ISAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R7D78",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "1110163355",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE",
"identifier": "20315",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "26810",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE PARTNER",
"identifier": "1140267",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PC23505",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "125694",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "178V178",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNER HMO",
"identifier": "305572",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY",
"identifier": "889041",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "STL040029",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMR",
"identifier": "178V178",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED COMP",
"identifier": "STM040053",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HORIZON",
"identifier": "1125337",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANY INSURANCES",
"identifier": "1811930092",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202132114",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "26810",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERICAL",
"identifier": "431540492",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAM",
"last_name": "HAWATMEH",
"middle_name": "S",
"prefix": "DR.",
"credential": "M D",
"code": "5",
"type": "Other 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 Sep 29, 2022; 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.