HESHAM A ALLAM M.D.
NPI 1669784559
Psychiatry & Neurology - Neurocritical Care in Springfield, IL

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7363 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 12, 2017 (2 updates tracked since 2017).

About Hesham A Allam M.d. NPPES

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

HESHAM A ALLAM M.D. (NPI 1669784559) is an individual neurocritical care provider in Springfield, Illinois, licensed in Illinois (036137764) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669784559
Entity TypeIndividualMale
Primary Taxonomy2084A2900X
Provider Legal NameHESHAM A ALLAMCredential: M.D.
Location Address751 N RUTLEDGE ST STE 3100Springfield, IL 62702-4968
Mailing Address751 N Rutledge St Ste 3100Springfield, IL 62702-4968 · (217) 545-8000 · Fax (217) 545-7363
Fax(217) 545-7363
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 8, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1669784559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurocritical CareAllopathic & Osteopathic Physicians
Taxonomy Code2084A2900X
License Licensed in IL · 036137764
Definition

The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.

751 N RUTLEDGE ST STE 3100, Springfield, IL 62702

Other Identifiers 1

Medicaid036137764IL

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 A Allam 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 ID6709156292
PECOS Enrollment IDI20170717000361
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
167 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
164 services91 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
49 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services42 patients
Telephone or internet assessment with verbal and written report by consulting physician, more than 30 minutes 99449
This service involves a consulting physician assessing your health condition through a phone or internet consultation lasting over 30 minutes. The physician will provide a verbal explanation and a written report of the findings, helping you understand your health status better.
42 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

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.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

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.

Physician Assistant (Medical)
751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Neurology)
751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702
Student in an Organized Health Care Education/Training Program
751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702
Physical Medicine & Rehabilitation
751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Neurology)
751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Neurology)
751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Neurology)
751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702
Radiology (Diagnostic Radiology)
751 N RUTLEDGE ST STE 3100
SPRINGFIELD, IL 62702

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 Allam's NPI number?

The NPI number for Hesham Allam is 1669784559. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Hesham Allam located?

Hesham Allam practices at 751 N Rutledge St Ste 3100, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Hesham Allam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.

Is Hesham Allam enrolled in Medicare?

Yes. Hesham Allam 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 Hesham Allam affiliated with any hospitals?

According to CMS data, Hesham Allam is affiliated with Decatur Memorial Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Hesham Allam was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.