DR. ROUBA G GHOUSSOUB M.D.
NPI 1396964599
Internal Medicine - Nephrology in Belleville, IL

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
4550 MEMORIAL DR STE 280, BELLEVILLE, IL 62226(618) 767-3235(618) 234-6156 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Apr 3, 2023, Feb 11, 2021 (3 updates tracked since 2021).

About Dr. Rouba G Ghoussoub M.d. NPPES

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

DR. ROUBA G GHOUSSOUB M.D. (NPI 1396964599) is an individual nephrology provider in Belleville, Illinois, licensed in Illinois (036139161) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1396964599
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ROUBA G GHOUSSOUBCredential: M.D.
Location Address4550 MEMORIAL DR STE 280Belleville, IL 62226-5372
Mailing Address4550 Memorial Dr Ste 280Belleville, IL 62226-5372 · (618) 767-3235
Fax(618) 234-6156
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 25, 2007
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1396964599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in IL · 036139161
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4550 MEMORIAL DR STE 280, Belleville, IL 62226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rouba G Ghoussoub M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092883686
PECOS Enrollment IDI20151005002948
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
320 services179 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
242 services138 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
85 services73 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
50 services14 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
38 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL
OwnershipProprietary
CMS Certification Number141348
Location325 Spring StreetRed Bud, IL 62278 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Plastic Surgery
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner (Acute Care)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Gastroenterology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226

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 Rouba Ghoussoub's NPI number?

The NPI number for Rouba Ghoussoub is 1396964599. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Rouba Ghoussoub located?

Rouba Ghoussoub practices at 4550 Memorial Dr Ste 280, Belleville, IL 62226. The listed phone number is (618) 767-3235.

What is Rouba Ghoussoub's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rouba Ghoussoub enrolled in Medicare?

Yes. Rouba Ghoussoub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rouba Ghoussoub affiliated with any hospitals?

According to CMS data, Rouba Ghoussoub is affiliated with St Josephs Hospital, Memorial Hospital, Hshs St Elizabeth's Hospital and Red Bud Regional Hospital.

When was this NPI record last updated?

The NPPES record for Rouba Ghoussoub was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.