Active NPI 1841282720 Individual Practitioner Male Practitioner

Dr. Hashim Mohammad Hesham , MD

Surgery • Albany, NY

Professional Overview & Biography Verified Profile Summary

Dr. Hashim Hesham, MD is a certified Surgery practicing in Albany, NY. With approximately 50 years of clinical experience since completing medical education in 1976, Dr. Hesham delivers high-quality medical care to the local community at 47 NEW SCOTLAND AVE.

Dr. Hesham is affiliated with Sinai Hospital Of Baltimore, Inc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

47 New Scotland Ave

Albany, NY 122083412

Telephone 5182625623

Fax 5182625560

Associated Practice Facility / Clinic

🏢 Affiliated Pathology Services Pc Facility NPI 1265417273

Medicare Profile & Education

Medical School

Other

Graduation Year

1976

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Albany, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +22.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

43 Specialists

Practicing in Albany, NY (2269 Statewide)

Telehealth Adoption Rate

18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hesham (50 Years) 50 Yrs

Albany Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	182	106	$200.00	$80.56
99291 Critical care, first 30-74 minutes	167	90	$920.00	$217.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	71	$374.44	$132.51
99239 Hospital discharge day management, more than 30 minutes	14	13	$300.00	$117.29
99284 Emergency department visit with moderate level of medical decision making	11	11	$254.00	$123.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	220	112	$200.00	$83.21
99291 Critical care, first 30-74 minutes	194	96	$920.00	$224.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	65	$374.09	$137.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	24	$285.00	$125.20
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$225.00	$86.08
99239 Hospital discharge day management, more than 30 minutes	21	21	$300.00	$120.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$295.00	$113.70
99284 Emergency department visit with moderate level of medical decision making	14	14	$254.00	$127.49
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$205.00	$96.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$445.00	$140.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	154	75	$920.00	$232.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	131	83	$285.00	$108.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$374.60	$143.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	35	$200.00	$75.77
99284 Emergency department visit with moderate level of medical decision making	23	23	$254.00	$130.27
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$205.00	$98.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$295.00	$122.13
99219 Hospital observation care, typically 50 minutes	14	14	$300.00	$140.54
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$814.00	$91.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	178	86	$630.79	$237.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	160	99	$285.00	$110.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	145	99	$200.00	$77.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	64	$374.69	$146.07
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$205.00	$100.15
99284 Emergency department visit with moderate level of medical decision making	23	23	$254.00	$132.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$125.00	$38.90
99239 Hospital discharge day management, more than 30 minutes	17	17	$300.00	$114.41
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$225.00	$108.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$295.00	$123.30
99219 Hospital observation care, typically 50 minutes	11	11	$300.00	$143.91
99283 Emergency department visit with low level of medical decision making	11	11	$170.00	$78.22
99225 Subsequent observation care, typically 25 minutes per day	11	11	$200.00	$77.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	270	129	$590.00	$241.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	97	$200.00	$78.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	78	$375.00	$150.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	54	$285.00	$113.17
99219 Hospital observation care, typically 50 minutes	24	24	$300.00	$147.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	15	$125.00	$28.33
99284 Emergency department visit with moderate level of medical decision making	21	21	$254.00	$129.92
99239 Hospital discharge day management, more than 30 minutes	18	18	$300.00	$116.46
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$205.00	$82.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$295.00	$119.13
99225 Subsequent observation care, typically 25 minutes per day	15	13	$200.00	$78.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	237	107	$590.00	$237.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	224	143	$200.00	$77.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	76	$375.00	$145.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	48	$285.00	$110.96
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$205.00	$78.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	17	$125.00	$27.33
99284 Emergency department visit with moderate level of medical decision making	23	22	$254.00	$125.48
99219 Hospital observation care, typically 50 minutes	21	21	$300.00	$145.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$295.00	$117.24
47562 Removal of gallbladder using an endoscope	19	19	$2105.00	$743.80
99225 Subsequent observation care, typically 25 minutes per day	17	13	$200.00	$78.08
99239 Hospital discharge day management, more than 30 minutes	16	16	$300.00	$114.59
99283 Emergency department visit with low level of medical decision making	16	16	$170.00	$66.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$445.00	$138.23
99217 Hospital observation care on day of discharge	12	12	$205.00	$78.26
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$225.00	$108.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	251	104	$590.00	$235.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	202	136	$181.46	$77.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	81	60	$260.31	$110.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	68	$311.86	$144.96
99225 Subsequent observation care, typically 25 minutes per day	26	19	$173.08	$77.43
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$226.60	$107.78
99284 Emergency department visit with moderate level of medical decision making	23	23	$254.00	$124.02
99283 Emergency department visit with low level of medical decision making	17	17	$170.00	$65.37
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$192.20	$73.96
99239 Hospital discharge day management, more than 30 minutes	15	14	$271.67	$114.43
47562 Removal of gallbladder using an endoscope	14	14	$2105.00	$684.57
43246 Insertion of stomach tube using a flexible endoscope	11	11	$1027.00	$202.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	313	139	$591.05	$234.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	241	156	$165.00	$75.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	103	101	$265.87	$144.17
99225 Subsequent observation care, typically 25 minutes per day	64	41	$165.00	$76.63
99284 Emergency department visit with moderate level of medical decision making	59	59	$254.00	$121.51
99217 Hospital observation care on day of discharge	29	28	$145.00	$76.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	23	$205.00	$109.73
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$157.00	$75.27
43246 Insertion of stomach tube using a flexible endoscope	17	16	$1027.00	$214.66
99283 Emergency department visit with low level of medical decision making	17	17	$170.00	$64.88
99239 Hospital discharge day management, more than 30 minutes	16	16	$215.00	$113.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$230.00	$107.95
31899 Windpipe or lung airway procedure	12	12	$688.00	$79.49

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 216951

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02051027 (NY)

Hospital & Practice Group Affiliations

Sinai Hospital Of Baltimore, Inc

2435 W Belvedere Ave, Baltimore, MD 212155224

Phone: 4106016025

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Dr. Todd Beyer , MD

Surgery

NPI 1003920810

Doctor of Medicine (M.D.)

Dr. Carl Rosati , MD

Surgery

NPI 1033104997

Doctor of Medicine (M.D.)

Dr. Edward Lee , MD

Surgery

NPI 1124012620

Doctor of Medicine (M.D.)

Wendy Berry , PA

Physician Assistant

NPI 1134197890

Physician Assistant

Dr. Ankesh Nigam , MD

Surgery

NPI 1275528226

Doctor of Medicine (M.D.)

Dr. David Conti , MD

Surgery

NPI 1295737740

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 47 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: 5182625623)

📍

Updated Business Mailing Address July 08, 2007

Registered at 47 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: 5182625623)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as HASHIM HESHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #216951 in NY)

🟢

Initial NPI Registration & Enumeration August 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841282720

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 17, 2005

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

47 New Scotland Ave

Albany, NY 122083412

Phone: 5182625623

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.