Sam Hawatmeh, M D, P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAM HAWATMEH, M D, P C

Practice address

12345 W Bend Dr Ste 304
Saint Louis, MO 63128-2256

Phone

(314) 722-2500

Fax

(314) 645-8244

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Isam S Hawatmeh, M.D.NPI 1811930092

Title

President

Phone

(314) 645-8200

Specialties & licenses 1

Addresses

Other identifiers 17

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isam S Hawatmeh, M D

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1811930092
  Medicare reassignment NPD Authorized official
• Sara Hawatmeh, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1710368584
  Medicare reassignment NPD
• Samer Alkaade, M D

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1982648259
  NPD (past)
• Kristen Koller, CRNP

  • Adult Health Nurse Practitioner
  • Washington, DC
  • NPI 1508131699
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1952345795",
    "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": "314-645-8244"
        },
        {
            "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": {
        "organization_name": "SAM HAWATMEH, M D, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "HAWATMEH",
        "authorized_official_first_name": "ISAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-645-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HORIZON",
            "identifier": "1125337",
            "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": "RRMCR",
            "identifier": "CG6708",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMR",
            "identifier": "178V178",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNER HMO",
            "identifier": "305572",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL COMP",
            "identifier": "STM040053",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PARTNER",
            "identifier": "1140267",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4039765",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507424406",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "E31401",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE",
            "identifier": "55772",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PC23505",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "STL040029",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "26810",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "26810",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY",
            "identifier": "889041",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Salvia
• Emine A Salviz, MD
• Marissa Christina Salvo, PHARM.D.
• Amy L Salzer Bothmann, RN
• Heath Salzman, LPC
• Ashley Elizabeth Sam, DO
• Sam's Club
• Sam's Club Optical (Sam's Club Optical 30-4741)
• Sam's Club Optical (Sam's Club Optical 30-8205)
• Sam's Club Optical (Sam's Club Optical 30-8125)

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.