DR. HEIN HTET D.O.
NPI 1083903041
Hospitalist in Lake Success, NY

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
2 PROHEALTH PLAZA, LAKE SUCCESS, NY 11042(516) 674-5858 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Hein Htet D.o. NPPES

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

DR. HEIN HTET D.O. (NPI 1083903041) is an individual hospitalist provider in Lake Success, New York, licensed in New York (268192) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1083903041
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. HEIN HTETCredential: D.O.
Location Address2 PROHEALTH PLAZALake Success, NY 11042
Mailing Address2 Prohealth PlazaLake Success, NY 11042 · (516) 674-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2011
Last NPPES UpdateOctober 21, 2014
✔ NPI 1083903041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 268192
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2 PROHEALTH PLAZA, Lake Success, NY 11042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hein Htet D.o. 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 ID1850517129
PECOS Enrollment IDI20140722001610
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Hein Htet reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
27 MAGNOLIA LN
Roslyn Heights, NY 11577
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
Internal Medicine
1000 N VILLAGE AVE
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Total Medicine 365 PC
  • 3 clinicians in this Medicare group
Internal Medicine
18 SHADY GLEN CT APT PH1
New Rochelle, NY 10805
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
508 services209 patients
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.
361 services144 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
91 services76 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology
2 PROHEALTH PLAZA
LAKE SUCCESS, NY 11042
Internal Medicine
2 PROHEALTH PLAZA
LAKE SUCCESS, NY 11042
Obstetrics & Gynecology (Gynecology)
2 PROHEALTH PLAZA
NEW HYDE PARK, NY 11042
Obstetrics & Gynecology
2 PROHEALTH PLAZA
LAKE SUCCESS, NY 11042

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 Hein Htet's NPI number?

The NPI number for Hein Htet is 1083903041. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Hein Htet located?

Hein Htet practices at 2 Prohealth Plaza, Lake Success, NY 11042. The listed phone number is (516) 674-5858.

What is Hein Htet's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hein Htet enrolled in Medicare?

Yes. Hein Htet 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.

Which organizations bill Medicare for Hein Htet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hein Htet reassigns Medicare benefits to 4 organizations: Northshore Hospitalist Associates PLLC (Roslyn Heights, NY), Total Medicine 365, P.C. (Rockville Centre, NY), Davenport Medical Care, P.C. (New Rochelle, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hein Htet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hein Htet affiliated with any hospitals?

According to CMS data, Hein Htet is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Hein Htet was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.