DR. MAHMOUD ABD-EL-HAFEZ MD
NPI 1710516943
Surgery in Springfield, IL

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
800 E CARPENTER ST, SPRINGFIELD, IL 62769(217) 544-6464 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2026, Apr 8, 2020 (2 updates tracked since 2020).

About Dr. Mahmoud Abd-el-hafez Md NPPES

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

DR. MAHMOUD ABD-EL-HAFEZ MD (NPI 1710516943) is an individual surgery provider in Springfield, Illinois, licensed in Illinois (036.180019) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Marymount Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1710516943
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MAHMOUD ABD-EL-HAFEZCredential: MD
Location Address800 E CARPENTER STSpringfield, IL 62769-1000
Mailing Address800 E Carpenter StSpringfield, IL 62769-1000 · (217) 544-6464
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1710516943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.180019
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
800 E CARPENTER ST, Springfield, IL 62769

Secondary Practice Location 1

Location 1301 N 8th StSpringfield, IL 62701-1041 · Phone (217) 544-6464

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

Dr. Mahmoud Abd-el-hafez 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 ID4880109396
PECOS Enrollment IDI20260604001006
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 Reassignment

Medicare enrollment records show Mahmoud Abd-el-hafez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2329 N DIRKSEN PKWY
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 317 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 2

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

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360143
Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62769 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Internal Medicine (Critical Care Medicine)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Anesthesiology
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Occupational Therapist
800 E CARPENTER ST
SPRINGFIELD, IL 62769

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 Mahmoud Abd-el-hafez's NPI number?

The NPI number for Mahmoud Abd-el-hafez is 1710516943. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Mahmoud Abd-el-hafez located?

Mahmoud Abd-el-hafez practices at 800 E Carpenter St, Springfield, IL 62769. The listed phone number is (217) 544-6464.

What is Mahmoud Abd-el-hafez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mahmoud Abd-el-hafez enrolled in Medicare?

Yes. Mahmoud Abd-el-hafez 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 organization bills Medicare for Mahmoud Abd-el-hafez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahmoud Abd-el-hafez reassigns Medicare benefits to Hshs Medical Group Inc (Springfield, IL). The 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 Mahmoud Abd-el-hafez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahmoud Abd-el-hafez accept?

Health plans from Anthem Blue Cross and Blue Shield list Mahmoud Abd-el-hafez 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 Mahmoud Abd-el-hafez affiliated with any hospitals?

According to CMS data, Mahmoud Abd-el-hafez is affiliated with Marymount Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Mahmoud Abd-el-hafez was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.