ROUBA G. GHOUSSOUB M.D. – NPI #1396964599
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

ROUBA GHOUSSOUB is a physician located in BELLEVILLE, IL. NPPES has assigned the NPI number 1396964599 to ROUBA GHOUSSOUB on April 25, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Mar 11, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROUBA GHOUSSOUB below.

NPI Profile for
ROUBA G. GHOUSSOUB

NPI Number
1396964599
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ROUBA G. GHOUSSOUB
Credentials
M.D.
Primary location
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226-5372
Phone: (618) 767-3235 Fax: (618) 234-6156
1 Other location(s):
4600 Memorial Dr
Suite 330
Belleville, IL 62226-5368
Phone: (618) 234-6003
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 11, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 IL 036139161

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
BJC
Content Type
CSV
Affiliation
N
Endpoint Location
4550 MEMORIAL DR STE 280,
BELLEVILLE, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROUBA GHOUSSOUB is affiliated with the following medical group(s):
  • HOSPITAL
    • HSHS ST ELIZABETH'S HOSPITAL
      ONE ST ELIZABETH BOULEVARD
      O FALLON, IL 62269
    • MEMORIAL HOSPITAL
      4500 MEMORIAL DRIVE
      BELLEVILLE, IL 62226
  • DIALYSIS FACILITY
    • FKC - BELLEVILLE
      6525 W MAIN STREET
      BELLEVILLE, IL 62223

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