HASSAN KIESO
NPI 1407812050
Internal Medicine - Cardiovascular Disease in Olympia Fields, IL

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
3800 W 203RD ST, SUITE 204, OLYMPIA FIELDS, IL 60461(708) 679-2670(708) 503-3260 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2020, Nov 25, 2015 (2 updates tracked since 2015).

About Hassan Kieso NPPES

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

HASSAN KIESO (NPI 1407812050) is an individual cardiovascular disease provider in Olympia Fields, Illinois, licensed in Illinois (036092223) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains a secondary practice location in Sterling.

NPPES Registry Identity

NPI1407812050
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHASSAN KIESO
Location Address3800 W 203RD ST, SUITE 204Olympia Fields, IL 60461-1184
Mailing Address1040 Sierra Drive, Suite 400Greenwood, IN 46143-7241 · (317) 528-4253 · Fax (317) 865-8319
Fax(708) 503-3260
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateApril 24, 2006
Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration
NPI 1407812050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036092223
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3800 W 203RD ST, Olympia Fields, IL 60461

Secondary Practice Location 1

Location 1101 E Miller RdSterling, IL 61081-1252 · Phone (815) 625-4790

Other Identifiers 2

Medicaid036092223IL
OtherL95559IL · Medicare Ptan

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

Hassan Kieso 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 ID244360576
PECOS Enrollment IDI20100614000453
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 30

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
2,198 services1,416 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
420 services408 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
221 services221 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
215 services215 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
196 services196 patients
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.
151 services101 patients

Hospital Affiliations CMS Care Compare 4

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Morrison Community Hospital

Critical Access Hospitals · Morrison, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141329
Location303 N Jackson StreetMorrison, IL 61270 · Whiteside County
Emergency services

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 15

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

Nurse Practitioner (Acute Care)
3800 W 203RD ST, SUITE 204
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Family)
3800 W 203RD ST
OLYMPIA FIELDS, IL 60461
Internal Medicine (Infectious Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, STE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, STE 202
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Family)
3800 W 203RD ST
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461

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 Hassan Kieso's NPI number?

The NPI number for Hassan Kieso is 1407812050. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Hassan Kieso located?

Hassan Kieso practices at 3800 W 203rd St Suite 204, Olympia Fields, IL 60461. The listed phone number is (708) 679-2670.

What is Hassan Kieso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Hassan Kieso enrolled in Medicare?

Yes. Hassan Kieso 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 Hassan Kieso affiliated with any hospitals?

According to CMS data, Hassan Kieso is affiliated with Katherine Shaw Bethea Hospital, Cgh Medical Center, Morrison Community Hospital and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Hassan Kieso was last updated on January 10, 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.