DR. HANI C SOUDAH (MD) – Obesity Medicine (Internal Medicine) Physician, NPI 1811935471
Obesity Medicine (Internal Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
220 ENDOCRINOLOGY in MO
Provider Addresses for DR. HANI C SOUDAH (MD)
111 SAINT LUKES CENTER DR STE 44B
CHESTERFIELD, MO 630173509
Phone: (314) 205-1926
Fax: (314) 205-1076
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-3500
Fax: (314) 230-1119
Type: Mailing
1044 N MASON RD
DIV IM ENDOCRINOLOGY, STE 330
SAINT LOUIS, MO 631416431
Phone: (314) 362-3500
Fax: (314) 230-1119
Type: Location
111 ST. LUKE'S CENTER DR. BUILDING B,
STE 44B
CHESTERFIELD, MO 63017
Phone: (314) 205-1926
Fax: (314) 205-1076
Type: Mailing
2315, Dougherty Ferry Road, Des Peres, Saint Louis County, Missouri, 63122, United States
SUITE 109
SAINT LOUIS, MO 631223383
Phone: (314) 205-1926
Fax: (314) 205-1076
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $193.
Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Lilly USA, LLC ($109).
Total Amount
$193
General + Research + Ownership
Payments
2
Total payment records
General Amount
$193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $109 |
| Rhythm Pharmaceuticals, Inc. | $84 |
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: 2006-08-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060803000149 | I | Internal Medicine | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 440 | 224 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 373 | 190 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 65 | 65 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 65 | 65 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 26 | 19 | $0 |
Insurance plans in this area (ZIP 63017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MO | 85610 | Blood test, clotting time | 185 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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