HATEM MAHGOUB M.D.
NPI 1932216033
Internal Medicine in Roxbury Crossing, MA

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
87.05/100
CMS Quality Rating
125 PARKER HILL AVE, ROXBURY CROSSING, MA 02120(617) 754-6687 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2024, Aug 25, 2020 (2 updates tracked since 2020).

About Hatem Mahgoub M.d. NPPES

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

HATEM MAHGOUB M.D. (NPI 1932216033) is an individual internal medicine provider in Roxbury Crossing, Massachusetts, licensed in New York (272820) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital - Somerset, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932216033
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHATEM MAHGOUBCredential: M.D.
Location Address125 PARKER HILL AVERoxbury Crossing, MA 02120-2847
Mailing Address125 Parker Hill AveRoxbury Crossing, MA 02120-2847 · (617) 754-6687
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 24, 2006
Last NPPES UpdateFebruary 27, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1932216033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 272820✔ Licensed in MA · 226958✔ Licensed in NJ · 25MA08751800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 25MA08751800 (NJ)
125 PARKER HILL AVE, Roxbury Crossing, MA 02120

Secondary Practice Locations 2

Location 1651 Willow Grove StHackettstown, NJ 07840-1799 · Phone (908) 441-1161 · Fax (908) 441-1152
Location 2175 High StNewton, NJ 07860-1004 · Phone (973) 579-8321 · Fax (973) 383-4572

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

Hatem Mahgoub 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 ID7315942372
PECOS Enrollment IDI20130104000111, I20140627001106
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

10

Medicare enrollment records show Hatem Mahgoub reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
Family Medicine
100 PARK ST
Glens Falls, NY 12801
  • Reassigned Medicare billing, New York enrollment
  • 201 clinicians in this Medicare group
Hospitalist
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 304 clinicians in this Medicare group
Hospitalist
300 CENTRAL AVE
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
Hospitalist
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 351 clinicians in this Medicare group
Urology
195 LITTLE ALBANY ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group
Surgery
110 REHILL AVE
Somerville, NJ 08876
  • Reassigned Medicare billing, New Jersey enrollment
  • 28 clinicians in this Medicare group
Podiatrist
315 STATE ROUTE 31 S
Washington, NJ 07882
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
Internal Medicine
125 SMITHFIELD LN
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 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.

Areas of Expertise CMS Part B claims 6

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 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.
556 services278 patients
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.
187 services177 patients
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.
116 services72 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.
50 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
28 services27 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02120 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

87.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.2
Improvement Activities40
Cost65.68

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.

Internal Medicine
125 PARKER HILL AVE, SUITE #450
ROXBURY CROSSING, MA 02120
Internal Medicine (Cardiovascular Disease)
125 PARKER HILL AVE, STE 500
ROXBURY CROSSING, MA 02120
Physical Therapist
125 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Physical Therapist
125 PARKER HILL AVE, CONVERSE 6 PT GYM
ROXBURY CROSSING, MA 02120
Nurse Anesthetist, Certified Registered
125 PARKER HILL AVE
BOSTON, MA 02120
Neurological Surgery
125 PARKER HILL AVE, CONVERSE 5
ROXBURY CROSSING, MA 02120
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
125 PARKER HILL AVE, CONVERSE 4
BOSTON, MA 02120
Internal Medicine (Cardiovascular Disease)
125 PARKER HILL AVE, FOGG 430
ROXBURY CROSSING, MA 02120

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 Hatem Mahgoub's NPI number?

The NPI number for Hatem Mahgoub is 1932216033. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Hatem Mahgoub located?

Hatem Mahgoub practices at 125 Parker Hill Ave, Roxbury Crossing, MA 02120. The listed phone number is (617) 754-6687.

What is Hatem Mahgoub's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hatem Mahgoub enrolled in Medicare?

Yes. Hatem Mahgoub 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 Hatem Mahgoub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hatem Mahgoub reassigns Medicare benefits to 10 organizations: Cogent Medical Care PC (East Patchogue, NY), Glens Falls Hospital Inc. (Glens Falls, NY), New York Medical Physician Associates PC (Poughkeepsie, NY), Nj Acute Care Specialists Professional Corporation (East Orange, NJ), Practice Associates Medical Group (Morristown, NJ) and 5 more organizations, listed in the Medicare section above. 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 Hatem Mahgoub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hatem Mahgoub accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hatem Mahgoub 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 Hatem Mahgoub affiliated with any hospitals?

According to CMS data, Hatem Mahgoub is affiliated with Robert Wood Johnson University Hospital - Somerset, Centrastate Medical Center, Hackettstown Medical Center, Good Samaritan Hospital Of Suffern and Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Hatem Mahgoub was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.