HESHAM MOHAMED ALY AFIFY MD
NPI 1881153880
Internal Medicine - Interventional Cardiology in Lexington, KY

Q: What is Hesham Afify's NPI number?

The NPI number for Hesham Afify is 1881153880. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Hesham Afify's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Hesham Afify was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment

1401 HARRODSBURG RD STE A300, LEXINGTON, KY 40504(859) 276-4429(859) 276-5919 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2026, Mar 21, 2023, Feb 17, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Hesham Mohamed Aly Afify Md NPPES

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

HESHAM MOHAMED ALY AFIFY MD (NPI 1881153880) is an individual interventional cardiology provider in Lexington, Kentucky, licensed in Kentucky (56367) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1881153880

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameHESHAM MOHAMED ALY AFIFYCredential: MD

Location Address1401 HARRODSBURG RD STE A300Lexington, KY 40504-3787

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 276-5919

Phone(859) 276-4429

Fax(859) 276-5919

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 18, 2019

Last NPPES UpdateMay 21, 20264 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1881153880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in KY · 56367

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 56367 (KY)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 56367 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1401 HARRODSBURG RD STE A300, Lexington, KY 40504

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Secondary Practice Location 1

Location 1201 Abraham Flexner Way Ste 905Louisville, KY 40202-3803 · Phone (502) 587-4267

Other Identifiers 1

Medicaid7100881140KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Hesham Mohamed Aly Afify 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 ID4981079415

PECOS Enrollment IDI20230413002458

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 Reassignments

Medicare enrollment records show Hesham Afify reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kentuckyone Health Medical Group, Inc.

Same address

Family Medicine

1401 HARRODSBURG RD
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
250 clinicians in this Medicare group

NPI 1104875970 (606) 330-7835

University Of Louisville Physicians, Inc.

60 mi

Pediatric Critical Care Medicine

9700 PARK PLAZA AVE, SUITE 110
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
2,337 clinicians in this Medicare group

NPI 1972859098 (502) 618-4283

Baptist Health Medical Group Inc

75 mi

Internal Medicine

2413 RING RD STE 100
Elizabethtown, KY 42701

Reassigned Medicare billing, Kentucky enrollment
967 clinicians in this Medicare group

NPI 1093338527 (270) 737-0077

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

53 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

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 12

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

DR. JOSEPH EDMUND SKURKA DPM

Podiatrist (Foot & Ankle Surgery)

1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504

Fayette County (859) 276-4429

EMILY ERNST PA-C

Physician Assistant (Medical)

1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504

Fayette County (859) 276-4429

HAROLD DENNIS JR. PA-C

Physician Assistant

1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504

Fayette County (859) 276-4429

THOMAS L GOFF M.D.

Internal Medicine (Interventional Cardiology)

1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504

Fayette County (859) 276-4429

MRS. BRENDA ARLEEN SHERWOOD RN, APRN

Nurse Practitioner

1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504

Fayette County (859) 276-4429

JAMES C KEMP PA

Physician Assistant

1401 HARRODSBURG RD STE A300, KENTUCKYONE HEALTH MEDICAL GROUP-PULMONARY ASSOCIATES
LEXINGTON, KY 40504

Fayette County (859) 313-4744

NAGABHUSHANAM R BOLLAVARAM M.D

Internal Medicine (Pulmonary Disease)

1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504

Fayette County (859) 313-4744

DR. JAMIE J. JACOBS MD

Internal Medicine (Cardiovascular Disease)

1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504

Fayette County (859) 276-4429

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 Afify's NPI number?

The NPI number for Hesham Afify is 1881153880. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Hesham Afify located?

Hesham Afify practices at 1401 Harrodsburg Rd Ste A300, Lexington, KY 40504. The listed phone number is (859) 276-4429.

What is Hesham Afify's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Hesham Afify enrolled in Medicare?

Yes. Hesham Afify 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 organizations bill Medicare for Hesham Afify's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hesham Afify reassigns Medicare benefits to 3 organizations: Kentuckyone Health Medical Group, Inc. (Lexington, KY), University Of Louisville Physicians, Inc. (Louisville, KY) and Baptist Health Medical Group Inc (Elizabethtown, KY). Each 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 Hesham Afify's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hesham Afify accept?

Health plans from Anthem Blue Cross and Blue Shield list Hesham Afify 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 Hesham Afify affiliated with any hospitals?

According to CMS data, Hesham Afify is affiliated with Saint Joseph Hospital and Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Hesham Afify was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.