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ROMAN HAILU FNP
NPI 1538413794
Nurse Practitioner in Saint Louis, MO

Active since November 08, 2012PECOS EnrolledAccepts Medicare Assignment
11525 OLDE CABIN RD, SAINT LOUIS, MO 63141(314) 997-0554 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2020, Jan 31, 2020, Nov 13, 2018 (3 updates tracked since 2018).

About Roman Hailu Fnp NPPES

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

ROMAN HAILU FNP (NPI 1538413794) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2014019178) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1538413794
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROMAN HAILUCredential: FNP
Location Address11525 OLDE CABIN RDSaint Louis, MO 63141-7146
Mailing Address11525 Olde Cabin RdSaint Louis, MO 63141-7146 · (314) 997-0554
Phone(314) 997-0554
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 8, 2012
Last NPPES UpdateOctober 23, 20243 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1538413794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2014019178
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R 206334-6 (MN)
11525 OLDE CABIN RD, Saint Louis, MO 63141
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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

Roman Hailu Fnp 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 ID6709039951
PECOS Enrollment IDI20150223000091
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

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.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 8

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

SOUMOJIT GHOSH MD
Internal Medicine (Gastroenterology)
11525 OLDE CABIN RD
CREVE COEUR, MO 63141
St. Louis County (314) 997-0554
MS. AMIE C CHANG P.A.
Physician Assistant
11525 OLDE CABIN RD
CREVE COEUR, MO 63141
St. Louis County (314) 997-0554
JANET TODORCZUK MD
Internal Medicine (Gastroenterology)
11525 OLDE CABIN RD
CREVE COEUR, MO 63141
St. Louis County (314) 997-0554
LEONARD B WEINSTOCK MD
Internal Medicine (Gastroenterology)
11525 OLDE CABIN RD
CREVE COEUR, MO 63141
St. Louis County (314) 997-0554
AMAN K SINGH MD
Internal Medicine (Gastroenterology)
11525 OLDE CABIN RD
SAINT LOUIS, MO 63141
St. Louis County (314) 997-0554
BENJAMIN ZIMMERMAN ROOT M.D.
Internal Medicine (Gastroenterology)
11525 OLDE CABIN RD
SAINT LOUIS, MO 63141
St. Louis County (314) 279-9049
SPECIALIST IN GASTROENTEROLOGY
Internal Medicine (Gastroenterology)
11525 OLDE CABIN RD
CREVE COEUR, MO 63141
St. Louis County (314) 997-0554
MR. NIKHIL BANERJEE M.D.
Internal Medicine (Gastroenterology)
11525 OLDE CABIN RD
SAINT LOUIS, MO 63141
St. Louis County (314) 997-0554

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 Roman Hailu's NPI number?

The NPI number for Roman Hailu is 1538413794. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Where is Roman Hailu located?

Roman Hailu practices at 11525 Olde Cabin Rd, Saint Louis, MO 63141. The listed phone number is (314) 997-0554.

What is Roman Hailu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Roman Hailu enrolled in Medicare?

Yes. Roman Hailu 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 Roman Hailu affiliated with any hospitals?

According to CMS data, Roman Hailu is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Roman Hailu was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.