DR. KHALED R HASSAN MD
NPI 1841303310
Internal Medicine in Bridgeton, MO

Q: What is Khaled Hassan's NPI number?

The NPI number for Khaled Hassan is 1841303310. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Khaled Hassan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Khaled Hassan was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 17, 2006PECOS Enrolled

12800 BOENKER LN, BRIDGETON, MO 63044(314) 551-0338(314) 551-0336 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Khaled R Hassan Md NPPES

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

DR. KHALED R HASSAN MD (NPI 1841303310) is an individual internal medicine provider in Bridgeton, Missouri, licensed in Missouri (2002013702) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841303310

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KHALED R HASSANCredential: MD

Location Address12800 BOENKER LNBridgeton, MO 63044-2438

Mailing Address12800 Boenker LnBridgeton, MO 63044-2438 · (314) 551-0338 · Fax (314) 551-0336

Phone(314) 551-0338

Fax(314) 551-0336

Sole ProprietorNo

Enumeration DateAugust 17, 2006

Last NPPES UpdateJune 28, 2012

✔ NPI 1841303310 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 · 2002013702

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.

12800 BOENKER LN, Bridgeton, MO 63044

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Other Identifiers 3

Medicare UPINH79520

Medicare ID-Type Unspecified056234595

Medicaid209188721MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Khaled R Hassan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Khaled Hassan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Wellness Clinic LLC

6.2 mi

Internal Medicine

2730 S SAINT PETERS PKWY
Saint Peters, MO 63303

Reassigned Medicare billing, Missouri enrollment
2 clinicians in this Medicare group

NPI 1619483294 (636) 277-9927

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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 8

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

AIREAL SHASAUNDAI BISHOP NP

Nurse Practitioner (Gerontology)