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HESHAM AHMED M.D.
NPI 1104015056
Surgery - Surgical Critical Care in New Brunswick, NJ

Active since October 16, 2007PECOS EnrolledAccepts Medicare Assignment
125 PATERSON ST, SUITE 4100, NEW BRUNSWICK, NJ 08901(732) 235-7920(732) 235-7079 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hesham Ahmed M.d. NPPES

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

HESHAM AHMED M.D. (NPI 1104015056) is an individual surgical critical care provider in New Brunswick, New Jersey, licensed in New Jersey (25MA08635100) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1104015056
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameHESHAM AHMEDCredential: M.D.
Location Address125 PATERSON ST, SUITE 4100New Brunswick, NJ 08901-1962
Mailing Address66 W Gilbert St, 2nd FloorTinton Falls, NJ 07701-4947 · (732) 212-0051 · Fax (732) 212-0713
Phone(732) 235-7920
Fax(732) 235-7079
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 16, 2007
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1104015056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in NJ · 25MA08635100
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 0101243802 (VA), 25MA08635100 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
125 PATERSON ST, New Brunswick, NJ 08901
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN167282A00NJ
Medicare PIN167282NAHNJ
Medicaid0217433NJ
OtherP00953260NJ · Rr Mcr Ptan

Accepted Insurance

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

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

Hesham Ahmed M.d. 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 ID6406915362
PECOS Enrollment IDI20150505001952, I20260629002729
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 Hesham Ahmed reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rutgers Health-Rwj Neurosurgery Faculty
9.2 mi
Surgery
110 REHILL AVE
Somerville, NJ 08876
  • Reassigned Medicare billing, New Jersey enrollment
  • 28 clinicians in this Medicare group
NPI 1548356926 (908) 685-2856
W.A. Foote Memorial Hospital
521 mi
Urology
205 N. EAST AVE, ATTN: PROVIDER ENROLLMENT
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 474 clinicians in this Medicare group
NPI 1073051199 (517) 841-7843
Hillsdale Community Health Center
539 mi
Rural Health
1456 HUDSON RD
Hillsdale, MI 49242
  • Reassigned Medicare billing, Michigan enrollment
  • 108 clinicians in this Medicare group
NPI 1801618608 (517) 439-0200
Acute Care Surgical Affiliates Of Texas PA
1,573 mi
Surgery
600 ELIZABETH ST
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 130 clinicians in this Medicare group
NPI 1407322415 (916) 441-0400

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 6

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.
82 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services33 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.
31 services19 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.
23 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

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.

DR. RICARDO E VERDINER MD
Anesthesiology (Critical Care Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6155
DR. IMRAN KHAN M.D., PH.D.
Internal Medicine
125 PATERSON ST, SUITE 5200
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6531
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Internal Medicine (Rheumatology)
125 PATERSON ST, SUITE 5200A
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7217
DOROTEA DEFRANCESCO PA
Physician Assistant (Surgical)
125 PATERSON ST, SUITE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7800
KRISH KHATRI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7751
ADEOLA AWOMOLO MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (718) 909-4661
DR. MANISH S PATEL MD
Internal Medicine
125 PATERSON ST, ROOM 2330
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6539
FRANK JIANG
Internal Medicine
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5100A
NEW BRUNSWICK, NJ 08901
Middlesex County (832) 235-6968

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 Hesham Ahmed's NPI number?

The NPI number for Hesham Ahmed is 1104015056. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Hesham Ahmed located?

Hesham Ahmed practices at 125 Paterson St Suite 4100, New Brunswick, NJ 08901. The listed phone number is (732) 235-7920.

What is Hesham Ahmed's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Hesham Ahmed enrolled in Medicare?

Yes. Hesham Ahmed 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 Hesham Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hesham Ahmed reassigns Medicare benefits to 4 organizations: Rutgers Health-Rwj Neurosurgery Faculty (Somerville, NJ), W.A. Foote Memorial Hospital (Jackson, MI), Hillsdale Community Health Center (Hillsdale, MI) and Acute Care Surgical Affiliates Of Texas PA (Corpus Christi, TX). 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 Hesham Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hesham Ahmed accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Hesham Ahmed 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 Hesham Ahmed affiliated with any hospitals?

According to CMS data, Hesham Ahmed is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Hesham Ahmed was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.