AHMED HANY MOHAMED TAWFIK ELHESSY MD
NPI 1497300057
Orthopaedic Surgery - Hand Surgery in El Paso, TX

NPI Status: Active since August 09, 2019

Contact Information

4801 ALBERTA AVE
EL PASO, TX
ZIP 79905
Phone: (915) 215-5400
Fax: (915) 215-8670

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  • Individual
  • Male
  • Years of Experience 18
  • Orthopaedic Surgery
  • Hand Surgery
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About AHMED ELHESSY

This page provides the complete NPI Profile along with additional information for Ahmed Elhessy, a provider established in El Paso, Texas with a medical specialization in Orthopaedic Surgery, focusing in hand surgery and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1497300057 assigned on August 2019. The practitioner's primary taxonomy code is 207XS0106X with license number 48827 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1497300057
Provider Name
AHMED HANY MOHAMED TAWFIK ELHESSY MD
Gender
Male
Entity Type
Individual
Location Address
4801 ALBERTA AVE EL PASO, TX 79905
Location Phone
(915) 215-5400
Location Fax
(915) 215-8670
Mailing Address
111 E 210TH ST BRONX, NY 10467
Mailing Phone
(718) 920-4321
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
08-09-2019
Last Update Date
08-26-2025
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Location Map

Secondary Locations

  • 111 E 210th St
    Bronx, NY 10467
    (718) 920-4321

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Hand Surgery

Taxonomy Code
207XS0106X
Type
Allopathic & Osteopathic Physicians
License No.
48827
License State
TX
Taxonomy Description
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

320772 (NY)
2207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

FT598 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FT598OTHER (01)KYSTATE LICENSE

Medicare Participation & PECOS Enrollment Status

Ahmed Elhessy is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Ahmed Elhessy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5597261115

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251002002304

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 79905 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.55
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $17.13
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for AHMED HANY MOHAMED TAWFIK ELHESSY MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497300057, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 3 → 6 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 6 + 0 + 0 + 0 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1497300057.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
4801 ALBERTA AVE
EL PASO, TX 79905
Pediatrics (Pediatric Cardiology)
4801 ALBERTA AVE
EL PASO, TX 79905
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
Registered Nurse (Neonatal, Low-Risk)
4801 ALBERTA AVE
EL PASO, TX 79905
General Acute Care Hospital
4801 ALBERTA AVE
EL PASO, TX 79905
General Acute Care Hospital
4801 ALBERTA AVE
EL PASO, TX 79905
Emergency Medicine
4801 ALBERTA AVE, EMERGENCY MEDICINE
EL PASO, TX 79905
Internal Medicine
4801 ALBERTA AVE
EL PASO, TX 79905
Advanced Practice Midwife
4801 ALBERTA AVE
EL PASO, TX 79905
Nurse Practitioner (Neonatal)
4801 ALBERTA AVE
EL PASO, TX 79905
Pediatrics
4801 ALBERTA AVE
EL PASO, TX 79905
Pediatrics
4801 ALBERTA AVE
EL PASO, TX 79905
Pediatrics
4801 ALBERTA AVE
EL PASO, TX 79905
Pediatrics
4801 ALBERTA AVE
EL PASO, TX 79905
Pediatrics
4801 ALBERTA AVE
EL PASO, TX 79905
Emergency Medicine
4801 ALBERTA AVE
EL PASO, TX 79905
Obstetrics & Gynecology (Gynecologic Oncology)
4801 ALBERTA AVE
EL PASO, TX 79905
Pediatrics (Pediatric Hematology-Oncology)
4801 ALBERTA AVE
EL PASO, TX 79905
Pediatrics
4801 ALBERTA AVE, PEDIATRICS DEPT.
EL PASO, TX 79905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497300057, enumerated as an "individual" on August 09, 2019.

The provider is located at 4801 ALBERTA AVE EL PASO, TX 79905 and the phone number is (915) 215-5400.

Orthopaedic Surgery with taxonomy code 207XS0106X and a focus in Hand Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.