2026 NPPES data Pediatrics Physician NPI 1801453865 MD
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ASHRAF ABDELHEMID, MD

Pediatrics Physician in BROOKLYN, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
84
Medicare Part D claims · 27 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ASHRAF ABDELHEMID, MD is a Pediatrics Physician ([object Object]) practicing in BROOKLYN, New York with a Medicare Part D prescribing footprint of 84 claims across 27 beneficiaries — 31% brand-name prescribing .

What stands out: ASHRAF ABDELHEMID, MD filed 84 Medicare Part D claims in 2023 across BROOKLYN, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ASHRAF ABDELHEMID, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

ASHRAF ABDELHEMID, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/24/2019

NPI 1801453865

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

84 89% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in New York

How Pediatrics Physician compares to other specialties among New York providers

New York providers

Pediatrics Physician share within New York

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ASHRAF ABDELHEMID, MD is a Pediatrics Physician provider practicing in BROOKLYN, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1801453865. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ASHRAF ABDELHEMID, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY, 11203, with a listed phone of (718) 270-2271. NPI 1801453865 was issued on 05/24/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABDELHEMID most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 84 prescription claims written by this provider, covering 27 Medicare beneficiaries and totaling roughly $6K in drug spend, split 31% brand-name and 69% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203

Provider Details

NPI 1801453865
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 05/24/2019

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to ASHRAF ABDELHEMID, MD. To verify ASHRAF ABDELHEMID, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

ASHRAF ABDELHEMID, MD — brand share 31.0%
Specialty average (est.)

31% brand-name claims vs 69% generic, on 84 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

84
Total Claims
$6K
Total Drug Cost
27
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
91
Total Day Supply
2,596
Brand vs Generic
31% brand / 69% generic
Brand Drug Cost
$5K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
2.21
Gender Split
44% female / 56% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
16

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatrics Physician Overview

How ASHRAF ABDELHEMID, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

ASHRAF ABDELHEMID, MD's 84 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as ABDELHEMID.

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ASHRAF ABDELHEMID, MD's specialty?
ASHRAF ABDELHEMID, MD specializes in Pediatrics Physician and practices in BROOKLYN, New York. Credentials: MD.
How much does ASHRAF ABDELHEMID, MD prescribe under Medicare Part D?
In 2023, ASHRAF ABDELHEMID, MD wrote 84 Medicare Part D claims totaling $6K in drug costs for 27 beneficiaries.
Where is ASHRAF ABDELHEMID, MD located?
ASHRAF ABDELHEMID, MD is located at SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY, 11203. Phone: (718) 270-2271.
What is ASHRAF ABDELHEMID, MD's NPI number?
ASHRAF ABDELHEMID, MD's National Provider Identifier (NPI) is 1801453865, issued on 05/24/2019.
Does ASHRAF ABDELHEMID, MD prescribe more brand-name or generic drugs?
ASHRAF ABDELHEMID, MD's prescribing is 31% brand-name and 69% generic drugs by claim count, with $5K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does ASHRAF ABDELHEMID, MD prescribe most often?
Based on 2023 Medicare Part D data, ASHRAF ABDELHEMID, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ASHRAF ABDELHEMID, MD accept Medicare?
ASHRAF ABDELHEMID, MD appears in CMS Medicare data with 84 Part D claims and 27 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHRAF ABDELHEMID, MD's credentials?
ASHRAF ABDELHEMID, MD's NPI is 1801453865 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology