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DR. HESHAM MAHMOUD ATWA M.D.
NPI 1841286788
Surgery in Port Jefferson, NY

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
67.68/100
CMS Quality Rating
620 BELLE TERRE RD, SUITE 5, PORT JEFFERSON, NY 11777(631) 476-9296(631) 476-9298 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hesham Mahmoud Atwa M.d. NPPES

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

DR. HESHAM MAHMOUD ATWA M.D. (NPI 1841286788) is an individual surgery provider in Port Jefferson, New York, licensed in New York (221306) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1841286788
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. HESHAM MAHMOUD ATWACredential: M.D.
Location Address620 BELLE TERRE RD, SUITE 5Port Jefferson, NY 11777-2500
Mailing Address620 Belle Terre Rd, Suite 5Port Jefferson, NY 11777-2500 · (631) 476-9296 · Fax (631) 476-9298
Phone(631) 476-9296
Fax(631) 476-9298
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 26, 2005
Last NPPES UpdateOctober 5, 2010
✔ NPI 1841286788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 221306
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.
620 BELLE TERRE RD, Port Jefferson, NY 11777
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Other Identifiers 3

Medicaid02229490NY
Medicare UPINH37248NY
Medicare ID-Type Unspecified405I21NY · Medicare Provider Number

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

Dr. Hesham Mahmoud Atwa 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 ID4981877230
PECOS Enrollment IDI20111101000506
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 10

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.
206 services86 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.
100 services73 patients
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.
89 services57 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.
72 services72 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.
49 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services22 patients

Hospital Affiliations CMS Care Compare 3

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

67.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.92
Improvement Activities40
Cost17.61

Reported Quality Measures

Breast Cancer Screening
0%232 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%507 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%577 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
35%127 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
0%49 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
67%49 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,662 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%264 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%1,084 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,082 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
10%2,316 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 753 patients
Patients screened: 95% · 753 patients
85%99 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 285 patients
Patients totalRate: 0% · 285 patients
0%285 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARAIN MOHAMMAD NAWAZ MD
Internal Medicine (Gastroenterology)
620 BELLE TERRE RD, SUITE 1
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-0240
HAMID HUSSAIN M.D.
Allergy & Immunology
620 BELLE TERRE RD, SUITE: 5
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-9736
DR. AHMAD F BHATTI MD
Surgery (Vascular Surgery)
620 BELLE TERRE RD, SUITE #2
PORT JEFFERSON, NY 11777
Suffolk County (631) 524-5960
PORT JEFFERSON ALLERGY & ASTHMA P.C
Allergy & Immunology
620 BELLE TERRE RD, SUITE 3
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-9736
NORTH SHORE VASCULAR SURGERY, PC
Surgery (Vascular Surgery)
620 BELLE TERRE RD, SUITE NO. 2
PORT JEFFERSON, NY 11777
Suffolk County (631) 524-5960

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 Atwa's NPI number?

The NPI number for Hesham Atwa is 1841286788. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Hesham Atwa located?

Hesham Atwa practices at 620 Belle Terre Rd Suite 5, Port Jefferson, NY 11777. The listed phone number is (631) 476-9296.

What is Hesham Atwa's specialty?

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

Is Hesham Atwa enrolled in Medicare?

Yes. Hesham Atwa 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 Atwa affiliated with any hospitals?

According to CMS data, Hesham Atwa is affiliated with John T Mather Memorial Hospital Of Port Jefferson, St Charles Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Hesham Atwa was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.