DR. HANI NABIL EL-HALAWANY M.D.
NPI 1558633008
Internal Medicine - Gastroenterology in Richmond Heights, MO

Q: What is Hani El-halawany's NPI number?

The NPI number for Hani El-halawany is 1558633008. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Q: What is Hani El-halawany's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Hani El-halawany was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 30, 2012PECOS EnrolledAccepts Medicare Assignment

6400 CLAYTON RD STE 216, RICHMOND HEIGHTS, MO 63117(314) 646-7848 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2020, Oct 5, 2020 (2 updates tracked since 2020).

On this page

About Dr. Hani Nabil El-halawany M.d. NPPES

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

DR. HANI NABIL EL-HALAWANY M.D. (NPI 1558633008) is an individual gastroenterology provider in Richmond Heights, Missouri, licensed in Missouri (2016009224) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558633008

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. HANI NABIL EL-HALAWANYCredential: M.D.

Location Address6400 CLAYTON RD STE 216Richmond Heights, MO 63117-1850

Mailing AddressPo Box 955534Saint Louis, MO 63195-2640

Phone(314) 646-7848

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 30, 2012

Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration

NPPES CertifiedOctober 21, 2020

✔ NPI 1558633008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MO · 2016009224

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6400 CLAYTON RD STE 216, Richmond Heights, MO 63117

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Hani Nabil El-halawany 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 ID9234427576

PECOS Enrollment IDI20161019001549, I20220819002539

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 Reassignments

Medicare enrollment records show Hani El-halawany reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Medical Group, Inc.

12 mi

Multi-Specialty

1011 BOWLES AVE, SUITE 300
Fenton, MO 63026

Reassigned Medicare billing, Illinois and Missouri enrollments
25 clinicians in this Medicare group

NPI 1700966207 (636) 496-5000

Carolinas Physicians Network, Inc.

505 mi

Medical Oncology

52 HOSPITAL DR, SUITE 3-A
Columbus, NC 28722

Reassigned Medicare billing, North Carolina enrollment
2,057 clinicians in this Medicare group

NPI 1184852105 (828) 894-2308

The Charlotte-Mecklenburg Hospital Authority

536 mi

General Practice

201 E GROVER ST
Shelby, NC 28150

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1225435126 (980) 487-7427

Carolinas Medical Center

570 mi

Psychiatry

16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1629412184 (704) 801-9200

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

Areas of Expertise CMS Part B claims 17

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

60 services31 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.

57 services37 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

36 services36 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.

36 services36 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.

35 services24 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

25 services24 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

25 services25 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

25 services25 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

23 services19 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

20 services18 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

18 services18 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

15 services15 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

12 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260104

Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

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 4

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

SUSAN GRYZMALA

Nurse Practitioner

6400 CLAYTON RD STE 216
SAINT LOUIS, MO 63117

St. Louis County (314) 646-7848

RUBEN RICARDO AYMERICH MD

Internal Medicine (Gastroenterology)

6400 CLAYTON RD STE 216
SAINT LOUIS, MO 63117

St. Louis County (314) 646-7848

LILIANA UNGUREANU NP

Nurse Practitioner

6400 CLAYTON RD STE 216
SAINT LOUIS, MO 63117

St. Louis County (314) 646-7848

GIAO VUONG M.D.

Internal Medicine (Gastroenterology)

6400 CLAYTON RD STE 216
SAINT LOUIS, MO 63117

St. Louis County (314) 646-7848

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 Hani El-halawany's NPI number?

The NPI number for Hani El-halawany is 1558633008. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Where is Hani El-halawany located?

Hani El-halawany practices at 6400 Clayton Rd Ste 216, Richmond Heights, MO 63117. The listed phone number is (314) 646-7848.

What is Hani El-halawany's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hani El-halawany enrolled in Medicare?

Yes. Hani El-halawany 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 organizations bill Medicare for Hani El-halawany's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hani El-halawany reassigns Medicare benefits to 4 organizations: Ssm Medical Group, Inc. (Fenton, MO), Carolinas Physicians Network, Inc. (Columbus, NC), The Charlotte-Mecklenburg Hospital Authority (Shelby, NC) and Carolinas Medical Center (Davidson, NC). Each 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 Hani El-halawany's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hani El-halawany accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Hani El-halawany 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 Hani El-halawany affiliated with any hospitals?

According to CMS data, Hani El-halawany is affiliated with Ssm Health St Mary's Hospital - St Louis and Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Hani El-halawany was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.