HESHAM H EL GAMAL M.D.
NPI 1285615245
Internal Medicine - Pulmonary Disease in Bowling Green, OH
About Hesham H El Gamal M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HESHAM H EL GAMAL M.D. (NPI 1285615245) is an individual pulmonary disease provider in Bowling Green, Ohio, licensed in Ohio (35.084310) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Blanchard Valley Hospital, and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 6
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
Hesham H El Gamal 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blanchard Valley Hospital
Acute Care Hospitals · Findlay, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 22
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 El Gamal's NPI number?
The NPI number for Hesham El Gamal is 1285615245. It was assigned to this individual provider in the NPPES registry on November 8, 2005.
Where is Hesham El Gamal located?
Hesham El Gamal practices at 960 W Wooster St Suite 107, Bowling Green, OH 43402. The listed phone number is (419) 373-7692.
What is Hesham El Gamal's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Hesham El Gamal enrolled in Medicare?
Yes. Hesham El Gamal 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 Hesham El Gamal accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and McLaren Health Plan Community and 3 other insurers list Hesham El Gamal 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 El Gamal affiliated with any hospitals?
According to CMS data, Hesham El Gamal is affiliated with Blanchard Valley Hospital.
When was this NPI record last updated?
The NPPES record for Hesham El Gamal was last updated on June 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.
