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HAITHAM HASSANE MBBCH
NPI 1487065546
Internal Medicine - Rheumatology in Carbondale, IL

Active since May 12, 2014PECOS EnrolledAccepts Medicare Assignment
2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 351-4878 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2020, Aug 20, 2019, Jul 19, 2018 and 1 more (4 updates tracked since 2018).

About Haitham Hassane Mbbch NPPES

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

HAITHAM HASSANE MBBCH (NPI 1487065546) is an individual rheumatology provider in Carbondale, Illinois, licensed in Illinois (036146447) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1487065546
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameHAITHAM HASSANECredential: MBBCH
Location Address2601 W MAIN STCarbondale, IL 62901-1031
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 549-5361
Fax(618) 351-4878
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 12, 2014
Last NPPES UpdateOctober 30, 20204 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1487065546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036146447
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2601 W MAIN ST, Carbondale, IL 62901
Open in Google Maps ↗

Other Identifiers 1

Other036.146447IL · Illinois Physician License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haitham Hassane Mbbch 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 ID6406102979
PECOS Enrollment IDI20180713001122
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.

Medicare Billing Reassignment

Medicare enrollment records show Haitham Hassane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Medical Services, Nfp
3.3 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200

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

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

MELISSA A MARTINEZ MATEO M.D.
Internal Medicine (Gastroenterology)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
CYNTHIA SNIDER APRN
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
ASHLEY NICOLE MITCHELL APRN, FNP-BC
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
PHYSICIANS SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
THE CARBONDALE CLINIC
Clinic/Center (Multi-Specialty)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 457-5200
LINDSAY B CASOLARI NP
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
DR. IS-HAQ MALIK MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
JANNICE EDMONSON NP
Nurse Practitioner (Psychiatric/Mental Health)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361

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 Haitham Hassane's NPI number?

The NPI number for Haitham Hassane is 1487065546. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Haitham Hassane located?

Haitham Hassane practices at 2601 W Main St, Carbondale, IL 62901. The listed phone number is (618) 549-5361.

What is Haitham Hassane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Haitham Hassane enrolled in Medicare?

Yes. Haitham Hassane 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.

Which organization bills Medicare for Haitham Hassane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haitham Hassane reassigns Medicare benefits to Southern Illinois Medical Services, Nfp (Carbondale, IL). The 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 Haitham Hassane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haitham Hassane accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Haitham Hassane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Haitham Hassane affiliated with any hospitals?

According to CMS data, Haitham Hassane is affiliated with Herrin Hospital, Good Samaritan Regional Hlth Center, Memorial Hospital Of Carbondale, Harrisburg Medical Center and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Haitham Hassane was last updated on October 30, 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.