ANDRE P BOUHASIN (MD) – Interventional Cardiology Physician, NPI 1508808635

ANDRE P BOUHASIN (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. 2004002409 (MO). The NPI Number for ANDRE P BOUHASIN (MD) is 1508808635

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ANDRE P BOUHASIN (MD)
NPI
1508808635
Phone
(636) 931-7101
Address
PO BOX 504835
Enumeration Date
12 June 2006
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5737057870
Graduation Year
2001 (25 years ago)
PAC ID
3173593167
Group Practice PAC ID
3072421254
Professional Enrollment ID
I20040728000134
Address ID
MO636401439FA513XXSTXX401

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO

Provider Addresses for ANDRE P BOUHASIN (MD)

  • PO BOX 504835

    SAINT LOUIS, MO 631504835

    Phone: (636) 931-7101

    Fax: (636) 931-7101

    Type: Mailing

  • 1439 US HIGHWAY 61 STE A

    FESTUS, MO 630284154

    Phone: (639) 931-7101

    Fax: (636) 933-2383

    Type: Location

  • 1151 HAZEL LN

    FARMINGTON, MO 636401920

    Phone: (573) 701-0090

    Type: Mailing

  • 513 W PINE ST

    FARMINGTON, MO 636401439

    Phone: (573) 701-0090

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 278 Open Payments records for all available years, with a total value of $8,207.

Total Amount is formed as General ($8,207) + Research ($0) + Ownership ($0) = $8,207.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($2,176).

Total Amount

$8,207

General + Research + Ownership

Payments

278

Total payment records

General Amount

$8,207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040728000134ICardiovascular Disease (Cardiology)MOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes741446$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function295290$0
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec28451$0
A9500Technetium tc-99m sestamibi, diagnostic, per study dose219111$0
99213Established patient office or other outpatient visit, 20-29 minutes194170$0
View full utilization report →

Insurance plans in this area (ZIP 63150)

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Provider's Procedures

ANDRE P BOUHASIN (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin5742
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report16492
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report5722
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart3737

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072421254View full group profile
NameSpecialtyState
-MO
-MO
Family PracticeMO
Hospitalist, Family PracticeMO
Internal MedicineMO
-MO
Family PracticeMO
Internal MedicineIL
Internal Medicine, HospitalistMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Where can patients find ANDRE P BOUHASIN (MD)'s NPI?
You can confirm ANDRE P BOUHASIN (MD) with NPI 1508808635; it appears in the national provider directory.
Does this profile mean ANDRE P BOUHASIN (MD) is currently active?
Yes — ANDRE P BOUHASIN (MD) appears active in the national provider directory.
Can you summarize ANDRE P BOUHASIN (MD)'s specialty in plain language?
Clinically, the directory lists ANDRE P BOUHASIN (MD) with Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for ANDRE P BOUHASIN (MD)?
We surface Saint Louis, Missouri for ANDRE P BOUHASIN (MD) based on available NPPES addresses.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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