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SOUTH COUNTY UROLOGICAL, INC.
NPI 1003824350
Urology in Saint Louis, MO

Active since August 03, 2006CLIA 26D0676438 · Waiver
12345 W BEND DR, SUITE 200, SAINT LOUIS, MO 63128(314) 843-8000(314) 843-3004 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South County Urological, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH COUNTY UROLOGICAL, INC. (NPI 1003824350) is a healthcare organization registered as an urology in Saint Louis, Missouri and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Abraham S Hawatmeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1003824350
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTH COUNTY UROLOGICAL, INC.
Location Address12345 W BEND DR, SUITE 200Saint Louis, MO 63128-2104
Mailing Address12345 W Bend Dr, Suite 200Saint Louis, MO 63128-2104 · (314) 843-8000 · Fax (314) 843-3004
Phone(314) 843-8000
Fax(314) 843-3004
Organization SubpartNo
Authorized OfficialAbraham S HawatmehOwner · (314) 843-8000
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003824350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
12345 W BEND DR, Saint Louis, MO 63128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South County Urological, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to South County Urological, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Salim Hawatmeh, M.D.
Urology
NPI 1184696627
12345 W BEND DR SUITE 200
Saint Louis, MO 63128
(314) 843-8000
✔ PECOS✔ Accepts MedicareSame address
Frederick Walters, M.D.
Urology
NPI 1114952074
12345 W BEND DR SUITE200
Saint Louis, MO 63128
(314) 843-8000
✔ PECOS✔ Accepts MedicareSame address
Ibrahim Hawatmeh, M.D.
Urology
NPI 1669407516
12345 W BEND DR SUITE 200
Saint Louis, MO 63128
(314) 843-8000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0676438

South County Urological · Saint Louis, MO
Active · expires Nov 29, 2026
CLIA Number26D0676438
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorSalim S. Hawatmeh
Laboratory Phone(314) 843-8000
Laboratory LocationSouth County Urological12345 West Bend Drive, Saint Louis, MO 63128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South County Urological, Inc.'s NPI number?

The NPI number for South County Urological, Inc. is 1003824350. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is South County Urological, Inc. located?

South County Urological, Inc. is located at 12345 W Bend Dr Suite 200, Saint Louis, MO 63128. The listed phone number is (314) 843-8000.

What is South County Urological, Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is South County Urological, Inc. enrolled in Medicare?

Yes. South County Urological, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South County Urological, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Urology, reassign their Medicare billing to South County Urological, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South County Urological, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0676438) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South County Urological, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.