DR. HEBATALLA ELHUSSEINY M.D.
NPI 1134570377
Psychiatry & Neurology - Neurology in Springfield, MA

Active since June 29, 2016PECOS EnrolledAccepts Medicare Assignment
175 CAREW ST STE 150, SPRINGFIELD, MA 01104(413) 452-6570 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2021, Jun 30, 2020, Jun 29, 2016 (3 updates tracked since 2016).

About Dr. Hebatalla Elhusseiny M.d. NPPES

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

DR. HEBATALLA ELHUSSEINY M.D. (NPI 1134570377) is an individual neurology provider in Springfield, Massachusetts, licensed in Massachusetts (287762) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1134570377
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. HEBATALLA ELHUSSEINYCredential: M.D.
Location Address175 CAREW ST STE 150Springfield, MA 01104-2391
Mailing Address20 York St Dept OfNew Haven, CT 06510-3220 · (203) 688-4242
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 29, 2016
Last NPPES UpdateSeptember 29, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1134570377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MA · 287762
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
175 CAREW ST STE 150, Springfield, MA 01104

Accepted 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

Dr. Hebatalla Elhusseiny 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 ID4688962053
PECOS Enrollment IDI20211006000899
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 5

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
7,700 services13 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.
237 services183 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.
46 services46 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.
25 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01104 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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 Hebatalla Elhusseiny's NPI number?

The NPI number for Hebatalla Elhusseiny is 1134570377. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Hebatalla Elhusseiny located?

Hebatalla Elhusseiny practices at 175 Carew St Ste 150, Springfield, MA 01104. The listed phone number is (413) 452-6570.

What is Hebatalla Elhusseiny's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Hebatalla Elhusseiny enrolled in Medicare?

Yes. Hebatalla Elhusseiny 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 Hebatalla Elhusseiny accept?

Health plans from Anthem Blue Cross and Blue Shield list Hebatalla Elhusseiny 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 Hebatalla Elhusseiny affiliated with any hospitals?

According to CMS data, Hebatalla Elhusseiny is affiliated with Cooley Dickinson Hospital Inc,the and Mercy Medical Ctr.

When was this NPI record last updated?

The NPPES record for Hebatalla Elhusseiny was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.