1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Obstetrics Gynecology
  6. NPI Profile

HELAI HESHAM MD
NPI 1386907053
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in New York, NY

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
622 W 168TH ST STE 16-22, NEW YORK, NY 10032(212) 305-7333 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Apr 4, 2023 (2 updates tracked since 2023).

About Helai Hesham Md NPPES

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

HELAI HESHAM MD (NPI 1386907053) is an individual urogynecology and reconstructive pelvic surgery provider in New York, New York, licensed in New York (299167) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Albany Medical College Of Union University (2012).

NPPES Registry Identity

NPI1386907053
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameHELAI HESHAMCredential: MD
Location Address622 W 168TH ST STE 16-22New York, NY 10032-3720
Mailing Address622 W 168th St Ste 16-22New York, NY 10032-3720 · (212) 305-7333
Phone(212) 305-7333
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1386907053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in NY · 299167
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MT201299 (PA)
622 W 168TH ST STE 16-22, New York, NY 10032
Open in Google Maps ↗

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

Helai Hesham 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 ID3678710522
PECOS Enrollment IDI20190827003226
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 3

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 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.
191 services117 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.
47 services47 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.
40 services39 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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 Helai Hesham's NPI number?

The NPI number for Helai Hesham is 1386907053. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Helai Hesham located?

Helai Hesham practices at 622 W 168th St Ste 16-22, New York, NY 10032. The listed phone number is (212) 305-7333.

What is Helai Hesham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Helai Hesham enrolled in Medicare?

Yes. Helai Hesham 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.

Is Helai Hesham affiliated with any hospitals?

According to CMS data, Helai Hesham is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Helai Hesham was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.