Hesham Mahmoud Atwa, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

221306 Issued in NY

Practice address

620 Belle Terre Rd
Suite 5
Port Jefferson, NY 11777-2500

Phone

(631) 476-9296

Fax

(631) 476-9298

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
• John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185

Merit-based Incentive Payment System (MIPS)

Final score

47.52 of 100Reported as individual

Quality

61.03

Improvement activities

0

Cost

64.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: heshamatwa@lild-ny.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hesham M.Atwa Physician PC

  • Surgery Physician
  • East Setauket, NY
  • NPI 1275811820
  Medicare reassignment NPD Authorized official
• Tech Medical Office, PC

  • Surgery Physician
  • East Setauket, NY
  • NPI 1457649113
  Medicare reassignment NPD Authorized official
• Belle Meade Medical, PC

  • Surgery Physician
  • East Setauket, NY
  • NPI 1740600071
  NPD (past) Authorized official
• Riverhead Surgery, PC

  • Clinic/Center
  • East Setauket, NY
  • NPI 1023574589

  Surgery

  NPD (past) Authorized official
• Setauket Surgery, PC

  • Surgery Physician
  • East Setauket, NY
  • NPI 1104287432
  NPD (past) Authorized official
• John T. Mather Memorial Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1093718728
  NPD (past)
• St Charles Hospital Corp

  dba St. Charles Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1164481529
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• John T. Mather Memorial Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1093718728
  Care Compare affiliation
• St Charles Hospital Corp

  dba St. Charles Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1164481529
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1841286788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BELLE TERRE RD",
            "address_2": "SUITE 5",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772500",
            "telephone_number": "631-476-9296",
            "fax_number": "631-476-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BELLE TERRE RD",
            "address_2": "SUITE 5",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772500",
            "telephone_number": "631-476-9296",
            "fax_number": "631-476-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWA",
        "first_name": "HESHAM",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "221306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02229490",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Ann Arm, PA
• Jessica Armanious
• Thomas A Arzt, LCSW, BCD
• Chinonso Saviour Asuzu, DO
• Alyssa Sarah Atkins
• Joseph M Audiino, P.A.
• Catherine Audus
• Robert Kennedy Awadallah, PHARM.D, ANP, MBA
• Lisa Aymong, NP
• Arvin Azam, DO

• Surgery Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.