DR. KARIM ABDALLA REDA FETOUH HEBISHI MD
NPI 1144707902
Psychiatry & Neurology - Psychiatry in Durham, NC

Active since July 25, 2018PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
2301 ERWIN RD, DURHAM, NC 27705(919) 620-4555 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Aug 23, 2023, Feb 3, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Karim Abdalla Reda Fetouh Hebishi Md NPPES

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

DR. KARIM ABDALLA REDA FETOUH HEBISHI MD (NPI 1144707902) is an individual psychiatry provider in Durham, North Carolina, licensed in North Carolina (2023-00085) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144707902
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KARIM ABDALLA REDA FETOUH HEBISHICredential: MD
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing Address2301 Erwin RdDurham, NC 27705-4699
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 25, 2018
Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1144707902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in NC · 2023-00085 Licensed in VA · 0101278156
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedHospitalistTaxonomy 208M00000X · License 2023-00085 (NC)
2301 ERWIN RD, Durham, NC 27705

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. Karim Abdalla Reda Fetouh Hebishi 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 ID4981956802
PECOS Enrollment IDI20230713000938
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.

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.
164 services39 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.
45 services18 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.
25 services25 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.
19 services17 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705

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 Karim Hebishi's NPI number?

The NPI number for Karim Hebishi is 1144707902. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Where is Karim Hebishi located?

Karim Hebishi practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 620-4555.

What is Karim Hebishi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Karim Hebishi enrolled in Medicare?

Yes. Karim Hebishi 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 Karim Hebishi accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Karim Hebishi 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 Karim Hebishi affiliated with any hospitals?

According to CMS data, Karim Hebishi is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Karim Hebishi was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.