SAMY MAMDOUH MOHAMED HESHMAT (MD) – Urology Physician, NPI 1124218664

SAMY MAMDOUH MOHAMED HESHMAT (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 61070 (MN). The NPI Number for SAMY MAMDOUH MOHAMED HESHMAT (MD) is 1124218664

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SAMY MAMDOUH MOHAMED HESHMAT (MD)
NPI
1124218664
Phone
(413) 241-2100
Address
100 Wason Ave Ste 120
Enumeration Date
31 July 2007
Last Update Date
28 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
9234370354
Group Practice PAC ID
2961395272
Professional Enrollment ID
I20170316002134
Address ID
MN564821296WA415XXNXXX400

Contacts

Secure Messaging
sheshmat1252035@direct.sw.org
Secure Messaging
sheshmat15663254@direct.sanfordhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience96
Completeness85
Years active:18State licenses:6Other namesUpdated within 12 months

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170316002134IUrologyMNTBD
I20231107003772IUrologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes135117$0
52000Diagnostic exam of bladder and urethra using an endoscope10588$0
99214Established patient office or other outpatient visit, 30-39 minutes7872$0
99204New patient office or other outpatient visit, 45-59 minutes5959$0
74420Imaging of urinary tract following injection of a contrast agent5031$0
View full utilization report →

Insurance plans in this area (ZIP 01107)

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Provider's Procedures

SAMY MAMDOUH MOHAMED HESHMAT (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYAR55700Biopsy of prostate gland1313
UROLOGYAR76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961395272View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
-MN
Clinical Social WorkerMN
-MN
Emergency MedicineMN
Physician AssistantMN
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN

Reviews

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Frequently asked questions

What number should I use to identify SAMY MAMDOUH MOHAMED HESHMAT (MD) for billing?
Administrative and clinical systems typically use NPI 1124218664 for SAMY MAMDOUH MOHAMED HESHMAT (MD).
Should I treat SAMY MAMDOUH MOHAMED HESHMAT (MD) as an active provider?
Patients and plans typically see SAMY MAMDOUH MOHAMED HESHMAT (MD) as active in the national extract.
How should patients interpret SAMY MAMDOUH MOHAMED HESHMAT (MD)'s specialty?
The extract shows Urology Physician for SAMY MAMDOUH MOHAMED HESHMAT (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAMY MAMDOUH MOHAMED HESHMAT (MD)?
SAMY MAMDOUH MOHAMED HESHMAT (MD) is associated with Springfield, Massachusetts in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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