Individual provider Active NPI

Hassaan Iftikhar, MD

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1962923177
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14267658-1205 Issued in UT
Practice address
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Phone
(314) 362-5000
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2020011726 MO
Nephrology Physician 207RN0300X 56068 KY
Nephrology Physician 207RN0300X 14267658-1205 UT Primary

Addresses

Primary practice location

1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1100 Country Hills Dr
Ogden, UT 84403-2503
Phone (801) 387-7900

Other practice location 2

601 Hamilton Ave
Trenton, NJ 08629-1915
Phone (609) 599-5061

Other practice location 3

601 Hamilton Ave
Trenton, NJ 08629-1915
Phone (609) 599-5061

Other practice location 4

601 Hamilton Ave
Trenton, NJ 08629-1915
Phone (609) 599-5061

Other identifiers 1

IdentifierTypeStateIssuer
56068OtherKYKENTUCKY MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220506001111 KY Practitioner - Nephrology 3274937545 Reassigns benefits to 1 organization
I20220531002646 IN Practitioner - Nephrology 3274937545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Nephrology Associates PSCGroup PAC ID 7416981675, 5 clinicians

Practice addresses (Care Compare)

1602 Main St
Tell City, IN 47586-1310
Phone (812) 719-4237

1930 E Parrish Ave
Owensboro, KY 42303-1443
Phone (270) 689-1919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020011726MOMDNephrology Physician
14267658-1205UTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Nephrology Associates PSC Nephrology CurrentSince Jan 28, 2022 Accepting new patients
Ihc Health Services, Inc. PastSince Jul 24, 2026 Accepting new patients

Locations

1602 Main St
Tell City, IN 47586
Phone (812) 547-1140

1930 E Parrish Ave
Owensboro, KY 42303
Phone (270) 689-1919

Interoperability endpoints

  • Direct secure messaging: hiftikhar117298@direct.owensborohealth.org
  • Direct secure messaging: hiftikhar1110907@direct.carenet.org

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1962923177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "314-362-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Country Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844032503",
            "country_code": "US",
            "telephone_number": "801-387-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086291915",
            "country_code": "US",
            "telephone_number": "609-599-5061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086291915",
            "country_code": "US",
            "telephone_number": "609-599-5061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086291915",
            "country_code": "US",
            "telephone_number": "609-599-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IFTIKHAR",
        "first_name": "HASSAAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2020011726",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "56068",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "14267658-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAL LICENSE",
            "identifier": "56068",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.