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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Hesham El Gamal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bowling Green, OH 43402
- Reassigned Medicare billing, Ohio enrollment
- 2 clinicians in this Medicare group
Findlay, OH 45840
- Reassigned Medicare billing, Ohio enrollment
- 120 clinicians in this Medicare group
Lima, OH 45804
- Reassigned Medicare billing, Ohio enrollment
- 42 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 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 19
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.
Which organizations bill Medicare for Hesham El Gamal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hesham El Gamal reassigns Medicare benefits to 3 organizations: Rise Medical Group, LLC (Bowling Green, OH), Specialty Physicians Of Blanchard Valley LLC (Findlay, OH) and Allen Intensivist Group LLC (Lima, OH). 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 El Gamal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hesham El Gamal accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 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 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.
# Hesham H El Gamal, M.D. · NPI 1285615245
Pulmonary Disease physician in Bowling Green, Ohio. Individual provider, active in the CMS NPPES registry since November 8, 2005.
## Identity
- **NPI:** 1285615245 (Entity type: Individual)
- **Enumerated:** November 8, 2005
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 35.084310 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 960 W WOOSTER ST, SUITE 107, Bowling Green, OH 43402-2644
- **Phone:** (419) 373-7692
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rise Medical Group, LLC (NPI 1285864488, Bowling Green, OH); Specialty Physicians Of Blanchard Valley LLC (NPI 1689835415, Findlay, OH); Allen Intensivist Group LLC (NPI 1811620057, Lima, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** June 17, 2011
- **Other identifiers:** Other A97968 (CA); Medicare PIN EL4134954 (OH); Medicaid 2492959 (OH); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1285615245) · Data from the CMS NPPES public registry.