HEBA HAMED ELSAYED AFEEFY MD, PHD
NPI 1295017044
Psychiatry & Neurology - Neurology in Saint Cloud, MN

Active since September 16, 2011PECOS EnrolledAccepts Medicare Assignment
1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5131 Get Directions Write a Review

NPPES record last updated: June 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heba Hamed Elsayed Afeefy Md, Phd NPPES

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

HEBA HAMED ELSAYED AFEEFY MD, PHD (NPI 1295017044) is an individual neurology provider in Saint Cloud, Minnesota, licensed in Minnesota (70396) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1295017044
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameHEBA HAMED ELSAYED AFEEFYCredential: MD, PHD
Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735
Mailing Address3624 Mississippi Dr NwCoon Rapids, MN 55433-2633 · (612) 368-5628
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 16, 2011
Last NPPES UpdateJune 18, 2022
NPPES CertifiedJune 18, 2022
NPI 1295017044 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 MN · 70396
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116023415 (VA)
1200 6TH AVE N, Saint Cloud, MN 56303

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

Heba Hamed Elsayed Afeefy Md, Phd 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 ID2264780782
PECOS Enrollment IDI20220718001059
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 10

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.

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.
195 services143 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.
138 services119 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.
61 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services46 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.
29 services29 patients
Measurement of brain wave activity (eeg), 2-12 hours with health care professional review and report 95717
This procedure records your brain's electrical activity for 2-12 hours. It's known as an EEG. A healthcare professional applies sensors to your scalp. These sensors capture brain wave patterns which are reviewed and reported on to assist in diagnosing various conditions.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Alomere Health

Acute Care Hospitals · Alexandria, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240030
Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County
Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Centracare- Rice Memorial Hospital

Acute Care Hospitals · Willmar, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240088
Location301 Becker Ave SWWillmar, MN 56201 · Kandiyohi County
Emergency services Birthing friendly

Centracare Health Paynesville Hospital

Critical Access Hospitals · Paynesville, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241349
Location200 1st Street WestPaynesville, MN 56362 · Stearns County
Emergency services Birthing friendly

St Gabriels Hospital

Critical Access Hospitals · Little Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241370
Location815 Southeast Second StreetLittle Falls, MN 56345 · Morrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Pediatrics
1200 6TH AVE N
SAINT CLOUD, MN 56303
Registered Nurse
1200 6TH AVE N
ST CLOUD, MN 56303
Internal Medicine (Rheumatology)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Physician Assistant (Medical)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Practitioner
1200 6TH AVE N
SAINT CLOUD, MN 56303
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Practitioner (Adult Health)
1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303
Internal Medicine
1200 6TH AVE N
SAINT CLOUD, MN 56303

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 Heba Afeefy's NPI number?

The NPI number for Heba Afeefy is 1295017044. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Heba Afeefy located?

Heba Afeefy practices at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is Heba Afeefy's specialty?

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

Is Heba Afeefy enrolled in Medicare?

Yes. Heba Afeefy 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 Heba Afeefy accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Heba Afeefy 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 Heba Afeefy affiliated with any hospitals?

According to CMS data, Heba Afeefy is affiliated with Alomere Health, St Cloud Hospital, Centracare- Rice Memorial Hospital, Centracare Health Paynesville Hospital and St Gabriels Hospital.

When was this NPI record last updated?

The NPPES record for Heba Afeefy was last updated on June 18, 2022. 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.