OMAR MUDALLAL
NPI 1023369097
Internal Medicine in Saint Louis, MO
NPI Status: Active since September 30, 2012
Contact Information
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
Phone: (314) 652-4100
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About OMAR MUDALLAL
This page provides the complete NPI Profile along with additional information for Omar Mudallal, an internist established in Saint Louis, Missouri with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1023369097 assigned on September 2012. The practitioner's primary taxonomy code is 207R00000X with license number 036147331 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1023369097
- Provider Name
- OMAR MUDALLAL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 915 N GRAND BLVD SAINT LOUIS, MO 63106
- Location Phone
- (314) 652-4100
- Mailing Address
- 915 N GRAND BLVD SAINT LOUIS, MO 63106
- Mailing Phone
- (314) 652-4100
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-30-2012
- Last Update Date
- 04-02-2024
- Code Navigator
An internist like Omar Mudallal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036147331
- License State
- IL
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Omar Mudallal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of mild to moderate severity
Emergency department visit for problem of moderate severity
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 22 times for 22 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 167 times for 157 patientsAn emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
This service was performed 83 times for 80 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 24 times for 24 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63106 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $128.28
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $32.07
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.37
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $24.59
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 2 | 3 | 3 | 6 | 9 | 0 | 9 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 4 | 3 | 6 | 6 | 18 | 0 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 4 + 3 + 6 + 6 + 1 + 8 + 0 + 1 + 8 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1023369097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. PATRICK MICHAEL FINNEGAN PHARM.D.
Pharmacist
915 N GRAND BLVD
ROOM A830
SAINT LOUIS, MO
ZIP 63106
DR. ISAAC JOSHUA FAIBISOFF MD
Psychiatry & Neurology
(Neurology)
915 N GRAND BLVD
A632
SAINT LOUIS, MO
ZIP 63106
VAMC ST. LOUIS MO
Medicare Defined Swing Bed Unit
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
DR. LAURA J. KROUPA M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
MS. ALLYN HAGER KRATZER RN,BSN,MA ED, MSN,
Nurse Practitioner
(Family)
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
DR. AJIT N BABU MD, MPH
Internal Medicine
915 N GRAND BLVD
ST. LOUIS VAMC
SAINT LOUIS, MO
ZIP 63106
MS. MARIANNE FLESCH ANP
Nurse Practitioner
(Adult Health)
915 N GRAND BLVD
EMERGENCY ROOM
SAINT LOUIS, MO
ZIP 63106
MR. MICHAEL A GLUESENKAMP RPH
Pharmacist
915 N GRAND BLVD
119 JC
SAINT LOUIS, MO
ZIP 63106
DR. RYAN PAUL MOENSTER PHARM.D.
Pharmacist
(Pharmacotherapy)
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
MR. KENNETH MICHAEL OLSON P.A. - C
Physician Assistant
(Medical)
915 N GRAND BLVD
11F/JC ST. LOUIS VA
SAINT LOUIS, MO
ZIP 63106
YUSAF ZAFAR BEG RPH
Pharmacist
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
MS. PAMELA JEAN BECKER WEILITZ RN, APRN, BC
Nurse Practitioner
(Adult Health)
915 N GRAND BLVD
F11JC
SAINT LOUIS, MO
ZIP 63106
THOMAS CHARLES HOFMEISTER RPH
Pharmacist
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
MR. LARRY G HASKINS RPH.
Pharmacist
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
MR. ALAN WAYNE SCHMIDT R.PH.
Pharmacist
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
DR. DANNY LOUIS TURNER SR. D.D.S.
Dentist
(Dental Public Health)
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
DR. CAROLE LEIGH BRADLEY PHARM.D.
Pharmacist
(Pharmacotherapy)
915 N GRAND BLVD
PHARMACY 119JC
SAINT LOUIS, MO
ZIP 63106
MS. PATRICIA ANN HARRIS RPH
Pharmacist
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
MS. RITA LOVACIA WIGGLEY PA
Physician Assistant
915 N GRAND BLVD
11FJC
SAINT LOUIS, MO
ZIP 63106
LISA HILPERT RPH
Pharmacist
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023369097, enumerated as an "individual" on September 30, 2012.
The provider is located at 915 N GRAND BLVD SAINT LOUIS, MO 63106 and the phone number is (314) 652-4100.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.