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MOHAMED HEGAZI MD
NPI 1003206392
Internal Medicine - Hematology & Oncology in Louisville, KY

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
529 S JACKSON ST, LOUISVILLE, KY 40202(502) 562-4270 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2018, Dec 20, 2017 (2 updates tracked since 2017).

About Mohamed Hegazi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMED HEGAZI MD (NPI 1003206392) is an individual hematology & oncology provider in Louisville, Kentucky, licensed in Kentucky (48193) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1003206392
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMOHAMED HEGAZICredential: MD
Location Address529 S JACKSON STLouisville, KY 40202
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0330
Phone(502) 562-4270
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 26, 2015
Last NPPES UpdateOctober 19, 20182 updates tracked since enumeration
✔ NPI 1003206392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 48193
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License TP460 (KY)
529 S JACKSON ST, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1529 S Jackson StLouisville, KY 40202 · Phone (502) 562-4270

Other Identifiers 3

OtherK196554KY · Medicare
Other48193KY · License
Medicaid7100385280KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohamed Hegazi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082924618
PECOS Enrollment IDI20151110001661
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
178 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
168 services64 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
65 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services34 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
25 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%35 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF LOUISVILLE
Special Hospital
529 S JACKSON ST, # 127
LOUISVILLE, KY 40202
Jefferson County (502) 852-5747
ASHLEY VICTORIA ADKINS PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4673
JASMINE COLLINS PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4370
LAURA ELIZABETH JONES LCSW
Social Worker (Clinical)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-7313
DANIEL STEWART METZINGER M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
529 S JACKSON ST, BROWN CANCER CENTER
LOUISVILLE, KY 40202
Jefferson County (502) 561-7220
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Radiology (Radiation Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-2700
MEGAN ELIZABETH BURD PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-7423
PATRICIA ASHBY ARNP
Nurse Practitioner
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohamed Hegazi's NPI number?

The NPI number for Mohamed Hegazi is 1003206392. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Mohamed Hegazi located?

Mohamed Hegazi practices at 529 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 562-4270.

What is Mohamed Hegazi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mohamed Hegazi enrolled in Medicare?

Yes. Mohamed Hegazi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mohamed Hegazi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Mohamed Hegazi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mohamed Hegazi affiliated with any hospitals?

According to CMS data, Mohamed Hegazi is affiliated with Jewish Hospital & St Mary's Healthcare, Baptist Health Louisville, Baptist Health Lagrange and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Hegazi was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.