HESHAM ABUKHDEIR MD
NPI 1407104862
Emergency Medicine in Decatur, GA

Active since August 16, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1670 CLAIRMONT RD, DECATUR, GA 30033(404) 728-7614 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2022, Jul 1, 2019 (2 updates tracked since 2019).

About Hesham Abukhdeir Md NPPES

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

HESHAM ABUKHDEIR MD (NPI 1407104862) is an individual emergency medicine provider in Decatur, Georgia, licensed in Georgia (82693) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Mercer University School Of Medicine (2016).

NPPES Registry Identity

NPI1407104862
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameHESHAM ABUKHDEIRCredential: MD
Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004
Mailing Address1670 Clairmont RdDecatur, GA 30033-4004
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2016
Enumeration DateAugust 16, 2012
Last NPPES UpdateFebruary 7, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1407104862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in GA · 82693✔ Licensed in SC · 39386
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1670 CLAIRMONT RD, Decatur, GA 30033

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 Abukhdeir 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 ID7113207796
PECOS Enrollment IDI20190612003165
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Hesham Abukhdeir reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Emergency Medicine
1000 JOHNSON FERRY RD
Sandy Springs, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
Family Medicine
2850 PACES FERRY RD SE
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 138 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 586 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.

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
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.

Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Registered Nurse
1670 CLAIRMONT RD
DECATUR, GA 30033
Family Medicine
1670 CLAIRMONT RD
DECATUR, GA 30033
Speech-Language Pathologist
1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Internal Medicine
1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033

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 Abukhdeir's NPI number?

The NPI number for Hesham Abukhdeir is 1407104862. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Hesham Abukhdeir located?

Hesham Abukhdeir practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 728-7614.

What is Hesham Abukhdeir's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Hesham Abukhdeir enrolled in Medicare?

Yes. Hesham Abukhdeir 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 Abukhdeir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hesham Abukhdeir reassigns Medicare benefits to 8 organizations: The Emory Clinic Inc (Atlanta, GA), Northside Emergency Associates, LLC (Sandy Springs, GA), Wellstar Medical Group, LLC (Atlanta, GA), The Bortolazzo Group, LLC (Austell, GA), Gwinnett Emergency Specialists Observation Services, LLC (Lawrenceville, GA) and 3 more organizations, listed in the Medicare section above. 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 Abukhdeir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hesham Abukhdeir accept?

Health plans from Oscar Health and Oscar Insurance Company list Hesham Abukhdeir 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 Abukhdeir affiliated with any hospitals?

According to CMS data, Hesham Abukhdeir is affiliated with Emory University Hospital Midtown, Northside Hospital Gwinnett and Fairview Park Hospital.

When was this NPI record last updated?

The NPPES record for Hesham Abukhdeir was last updated on February 7, 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.