Active NPI 1932202918 Individual Practitioner Male Practitioner

Dr. Hisham Spiridon Hourani , MD

Surgery • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hisham Hourani, MD is a certified Surgery practicing in Warwick, RI. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Hourani delivers high-quality medical care to the local community at 15 HEALTH LN BLDG 2-D.

Dr. Hourani is affiliated with Affinity Physicians Llc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less, application of chemical to stop tissue regrowth in wound. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15 Health Ln Bldg 2-D

Warwick, RI 028862710

Telephone 4017364646

Fax 4017364546

Associated Practice Facility / Clinic

🏢 Kitaj Headache Center Llc Facility NPI 1790876324

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Warwick, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +18.1 yrs vs City Avg

City Avg: 27.9 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

21 Specialists

Practicing in Warwick, RI (160 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hourani (46 Years) 46 Yrs

Warwick Specialty Average (27.9 Years) 27.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	365	87	$214.00	$65.35
97597 Removal of tissue from wound, 20.0 sq cm or less	220	67	$245.00	$34.91
17250 Application of chemical to stop tissue regrowth in wound	57	25	$217.00	$35.95
11042 Removal of skin and tissue, 20.0 sq cm or less	56	26	$313.00	$60.17
97598 Removal of tissue from wound, each additional 20.0 sq cm	53	14	$109.00	$24.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$264.00	$81.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	80	$214.00	$67.79
97597 Removal of tissue from wound, 20.0 sq cm or less	228	61	$245.00	$36.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$264.00	$84.97
97598 Removal of tissue from wound, each additional 20.0 sq cm	46	13	$109.00	$25.27
17250 Application of chemical to stop tissue regrowth in wound	32	14	$217.00	$36.23
11042 Removal of skin and tissue, 20.0 sq cm or less	31	19	$313.00	$61.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	145	41	$245.00	$36.96
99213 Established patient office or other outpatient visit, typically 15 minutes	142	47	$214.00	$68.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$264.00	$85.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	35	$277.00	$78.84
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	58	13	$167.00	$52.32
99221 Initial hospital inpatient care per day, typically 30 minutes	48	45	$392.00	$118.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	19	$147.00	$44.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$422.00	$102.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	403	72	$277.00	$61.47
99183 Management and supervision of oxygen chamber therapy per session	198	13	$436.00	$138.13
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	136	21	$167.00	$52.30
99221 Initial hospital inpatient care per day, typically 30 minutes	134	124	$392.00	$121.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	43	$147.00	$47.12
11042 Removal of skin and tissue, 20.0 sq cm or less	47	25	$463.00	$76.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$522.00	$165.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$422.00	$91.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	12	$167.00	$51.72
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$346.00	$107.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$411.73	$94.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	713	107	$277.00	$58.55
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	333	78	$167.00	$50.65
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	168	30	$167.00	$50.66
99183 Management and supervision of oxygen chamber therapy per session	146	11	$436.00	$130.49
29580 Strapping, unna boot	120	17	$207.00	$33.04
11042 Removal of skin and tissue, 20.0 sq cm or less	98	53	$463.00	$73.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	65	$771.00	$232.40
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	74	72	$346.00	$103.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	61	$525.72	$158.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$422.00	$87.12
99221 Initial hospital inpatient care per day, typically 30 minutes	41	39	$392.00	$118.39
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	38	36	$346.00	$103.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	24	$273.00	$83.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	18	$147.00	$45.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$394.00	$119.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	498	102	$277.00	$83.96
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	426	76	$167.00	$51.04
99183 Management and supervision of oxygen chamber therapy per session	309	21	$436.00	$130.47
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	213	31	$167.00	$50.56
99213 Established patient office or other outpatient visit, typically 15 minutes	187	51	$277.00	$57.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	145	$771.00	$228.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	80	$522.00	$153.64
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	80	79	$346.00	$104.27
11042 Removal of skin and tissue, 20.0 sq cm or less	75	43	$463.00	$70.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	34	$394.00	$118.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	30	$273.00	$81.65
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	35	34	$346.00	$101.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$422.00	$127.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$402.48	$89.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	465	96	$167.00	$51.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	72	$410.00	$120.98
99213 Established patient office or other outpatient visit, typically 15 minutes	296	62	$277.91	$83.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	177	149	$522.00	$156.28
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	162	29	$167.00	$51.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	111	55	$273.00	$82.06
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	101	97	$346.00	$104.33
11042 Removal of skin and tissue, 20.0 sq cm or less	78	44	$463.00	$73.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	70	$771.00	$232.01
99213 Established patient office or other outpatient visit, typically 15 minutes	61	23	$277.00	$58.20
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	33	29	$346.00	$101.20
11042 Removal of skin and tissue, 20.0 sq cm or less	26	18	$463.00	$139.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	15	$411.00	$89.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$635.00	$191.14
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	15	11	$911.00	$188.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$398.70	$124.65

Medical Specialties & State Licenses

CMS Verified: 2024-07-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD18404

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

Commercial Insurance / Payer ID Md

208600000X (NY)

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Practice Associates & Co-Workers

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

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 06, 2022

Registered at 15 HEALTH LN BLDG 2-D, WARWICK, RI 028862710 (Tel: 4017364646)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Surgery (License #MD18404 in RI)

✅

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2016

Registered at 1980 CROMPOND RD, WOUND CARE/HYPERBARIC MEDICINE, CORTLANDT MANOR, NY 105674144 (Tel: 9147343030)

📍

Updated Business Mailing Address November 14, 2016

Registered at 2649 STRANG BLVD, STE 304, YORKTOWN HEIGHTS, NY 105982939 (Tel: 9147390087)

👤

Provider Name / Credentials Updated November 14, 2016

Recorded as HISHAM HOURANI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Specialist (License #211123 in NY)

🟢

Initial NPI Registration & Enumeration September 06, 2006

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: 1932202918

Entity Type:

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

Enumeration Date: September 06, 2006

Last Update: July 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2649 Strang Blvd, Ste 304

Yorktown Heights, NY 105982939

Phone: 9147390087

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.