DR. MAHMOUD ABD-EL-HAFEZ MD
NPI 1710516943
Surgery in Springfield, IL
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
Specialties & Licenses
Secondary Practice Location 1
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.
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.
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, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician 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.
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.
SPRINGFIELD, IL 62769
SPRINGFIELD, IL 62769
SPRINGFIELD, IL 62769
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.