Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randa Ibrahim Hazam

Individual provider Internal Medicine Physician · NPI 1295222404

Randa Ibrahim Hazam is a Hospitalist in Saint Louis, Missouri. Qualified in 2012, 14 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
14
Licensed in
MO, TX
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 257-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1400 S Coulter St Ste 2500, Amarillo, TX 79106-1786 — (806) 414-9100
  • 17200 St Lukes Way, Conroe, TX 77384-8007 — (936) 266-2000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2022040465 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence T1960 (TX)
Hospitalist Physician Taxonomy 208M00000X · Licence 202204065 (MO)
Hospitalist Physician Taxonomy 208M00000X · Licence T1960 (TX)

Record details

NPI number1295222404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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