MEDICARE: AHMAD HASAN RIMAWI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	036174483	IL
2	207R00000X	Internal Medicine Physician	036174483	IL

General Provider Information

NPI Number	:	1902545783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD HASAN RIMAWI MD

Provider Business Mailing Address
First Line	:	PO BOX 959203
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-9203
Country	:	US
Telephone Number	:	618-257-6220
Fax Number	:	618-257-6679

Provider Business Practice Location Address
First Line	:	4500 MEMORIAL DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5360
Country	:	US
Telephone Number	:	618-257-6220
Fax Number	:	618-257-6679

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	02/05/2026

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