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DR. ISAM S HAWATMEH M D
NPI 1811930092
Internal Medicine in Saint Louis, MO

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
12345 W BEND DR STE 304, SAINT LOUIS, MO 63128(314) 722-2500(314) 645-8244 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Aug 2, 2021 (2 updates tracked since 2021).

About Dr. Isam S Hawatmeh M D NPPES

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

DR. ISAM S HAWATMEH M D (NPI 1811930092) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (R7D78) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1811930092
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ISAM S HAWATMEHCredential: M D
Location Address12345 W BEND DR STE 304Saint Louis, MO 63128-2256
Mailing Address12345 W Bend Dr Ste 304Saint Louis, MO 63128-2256 · (314) 722-2500 · Fax (314) 722-2556
Phone(314) 722-2500
Fax(314) 645-8244
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1811930092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R7D78
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12345 W BEND DR STE 304, Saint Louis, MO 63128
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Other Names 1

Other Name (5)Dr. Sam S Hawatmeh M D

Other Identifiers 17

Other1110163355MO · Rrmcr
Other20315MO · Healthcare
Other26810MO · Blue Cross
Other1140267MO · Care Partner
OtherPC23505MO · Cigna
Other125694MO · Healthlink
Other178V178MO · Ghp
Other305572MO · Partner Hmo
Other889041MO · Community
OtherSTL040029MO · United Healthcare
Other178V178MO · Cmr
OtherSTM040053MO · Med Comp
Other1125337MO · First Horizon
Other1811930092MO · Any Insurances
Medicaid202132114MO
Other26810MO · Blue Choice
Other431540492MO · Commerical

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. Isam S Hawatmeh 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 ID1153231964
PECOS Enrollment IDI20100910001144
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
78 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
76 services70 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.
54 services37 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
38 services38 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
37 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%103 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%106 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers19 claims53 services$5.87 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$7.66 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers13 claims13 services$141.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

SARA HAWATMEH M.D.
Internal Medicine
12345 W BEND DR STE 304
SAINT LOUIS, MO 63128
St. Louis County (314) 722-2500
SAM HAWATMEH, M D, P C
Internal Medicine
12345 W BEND DR STE 304
SAINT LOUIS, MO 63128
St. Louis County (314) 722-2500

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 Isam Hawatmeh's NPI number?

The NPI number for Isam Hawatmeh is 1811930092. It was assigned to this individual provider in the NPPES registry on June 14, 2006. The provider is also known as Dr. Sam S Hawatmeh M D.

Where is Isam Hawatmeh located?

Isam Hawatmeh practices at 12345 W Bend Dr Ste 304, Saint Louis, MO 63128. The listed phone number is (314) 722-2500.

What is Isam Hawatmeh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Isam Hawatmeh enrolled in Medicare?

Yes. Isam Hawatmeh 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 Isam Hawatmeh affiliated with any hospitals?

According to CMS data, Isam Hawatmeh is affiliated with Mercy Hospital St Louis, Mercy Hospital South and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Isam Hawatmeh was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.