SAMY MAMDOUH MOHAMED HESHMAT (MD) – Urology Physician, NPI 1124218664
Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
365 UROLOGY in MA
Provider Addresses for SAMY MAMDOUH MOHAMED HESHMAT (MD)
100 Wason Ave Ste 120
Springfield, MA 01107
Phone: (413) 241-2100
Fax: (413) 735-1986
Type: Location
1609 W 40th Ave Ste 301
Pine Bluff, AR 716036366
Phone: (870) 890-4848
Fax: (501) 410-1148
Type: Location
801 Broadway N
Fargo, ND 581023641
Phone: (701) 234-2000
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (413) 241-2100
Fax: (413) 735-1986
Type: Mailing
PO BOX 844658
DALLAS, TX 752844658
Phone: (800) 994-0371
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765083641
Phone: (254) 724-2111
Type: Location
Fargo, Broadway, Downtown, Fargo, Cass County, North Dakota, 58102-4608, United States
FARGO, ND 581023641
Phone: (701) 234-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $235.
Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: COLOPLAST CORP ($104).
Total Amount
$235
General + Research + Ownership
Payments
6
Total payment records
General Amount
$235
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $104 |
| PROCEPT BioRobotics Corporation | $45 |
| AngioDynamics, Inc. | $33 |
| Medtronic, Inc. | $28 |
| Boston Scientific Corporation | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170316002134 | I | Urology | MN | TBD |
| I20231107003772 | I | Urology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 117 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 105 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 72 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 50 | 31 | $0 |
Insurance plans in this area (ZIP 01107)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| - | MN | |
| Emergency Medicine | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN |
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