HESHAM MAHMOUD ABDELFATTAH M.D.
NPI 1497998561
Orthopaedic Surgery - Hand Surgery in Wall Township, NJ

Active since April 19, 2009PECOS EnrolledAccepts Medicare Assignment
4810 BELMAR BLVD, WALL TOWNSHIP, NJ 07753(732) 938-6090(732) 938-5680 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2022, Mar 21, 2017, Aug 12, 2016 (3 updates tracked since 2016).

About Hesham Mahmoud Abdelfattah M.d. NPPES

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

HESHAM MAHMOUD ABDELFATTAH M.D. (NPI 1497998561) is an individual hand surgery provider in Wall Township, New Jersey, licensed in New Jersey (25MA09503100) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1497998561
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameHESHAM MAHMOUD ABDELFATTAHCredential: M.D.
Location Address4810 BELMAR BLVDWall Township, NJ 07753-6952
Mailing Address4810 Belmar BlvdWall Township, NJ 07753-6952 · (732) 938-6090 · Fax (732) 938-5680
Fax(732) 938-5680
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 19, 2009
Last NPPES UpdateAugust 29, 20223 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1497998561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in NJ · 25MA09503100
Definition

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.

4810 BELMAR BLVD, Wall Township, NJ 07753

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

Hesham Mahmoud Abdelfattah 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.

PECOS PAC ID2062645799
PECOS Enrollment IDI20220808000882
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 15

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.
320 services196 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
124 services82 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
116 services76 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
108 services56 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.
106 services106 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.
98 services77 patients

Hospital Affiliations CMS Care Compare 5

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

Orthopaedic Surgery
4810 BELMAR BLVD
NEPTUNE, NJ 07753
Physical Therapist
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Orthopaedic Surgery
4810 BELMAR BLVD
NEPTUNE, NJ 07753
Orthopaedic Surgery
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Physician Assistant
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Orthopaedic Surgery
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Orthopaedic Surgery
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Physician Assistant
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497998561, enumerated as an "individual" on April 19, 2009.

The provider is located at 4810 BELMAR BLVD WALL TOWNSHIP, NJ 07753 and the phone number is (732) 938-6090.

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

Hesham Abdelfattah is affiliated with: RARITAN BAY MEDICAL CENTER, OCEAN MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, CENTRASTATE MEDICAL CENTER and BAYSHORE MEDICAL CENTER.