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MONA AL MUKADDAM MD
NPI 1043400567
Internal Medicine - Endocrinology, Diabetes & Metabolism in Philadelphia, PA

Active since July 31, 2007PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD., WEST PAVILION, 4TH FLOOR, PHILADELPHIA, PA 19104(215) 662-2300(215) 614-0418 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2025, Jan 21, 2016 (2 updates tracked since 2016).

About Mona Al Mukaddam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONA AL MUKADDAM MD (NPI 1043400567) is an individual endocrinology, diabetes & metabolism provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD445313) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1043400567
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMONA AL MUKADDAMCredential: MD
Location Address3400 CIVIC CENTER BLVD., WEST PAVILION, 4TH FLOORPhiladelphia, PA 19104-5134
Mailing Address3400 Civic Center Blvd., West Pavilion, 4th FloorPhiladelphia, PA 19104-5134 · (215) 662-2300 · Fax (215) 614-0418
Phone(215) 662-2300
Fax(215) 614-0418
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 31, 2007
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1043400567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD445313
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD445313 (PA)
3400 CIVIC CENTER BLVD., Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mona Al Mukaddam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183888431
PECOS Enrollment IDI20120618000152
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
182 services175 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
137 services130 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$216.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATALIN SUSZTAK MD
Internal Medicine (Nephrology)
3400 CIVIC CENTER BLVD., 1ST FLOOR, SUITE 300 S
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2638
ILDIKO CSIKI MD
Radiology (Diagnostic Ultrasound)
3400 CIVIC CENTER BLVD., RAD ONC/TRC 2 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN CURRAN CAPELL MD
Dermatology
3400 CIVIC CENTER BLVD., 1-330S PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737
DR. ALEXANDER LIN MD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD., CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
RENYU LIU MD
Anesthesiology
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
KRISTEN N KOBALY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION 4TH FL, SUITE 4-900 W
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KAITLIN ELIZABETH CIOTOLI CRNP
Nurse Practitioner (Women's Health)
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
PHILLIP D HOLLER MD
Dermatology
3400 CIVIC CENTER BLVD., 1-330S PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mona Al Mukaddam's NPI number?

The NPI number for Mona Al Mukaddam is 1043400567. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Mona Al Mukaddam located?

Mona Al Mukaddam practices at 3400 Civic Center Blvd. West Pavilion, 4th Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-2300.

What is Mona Al Mukaddam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mona Al Mukaddam enrolled in Medicare?

Yes. Mona Al Mukaddam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mona Al Mukaddam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mona Al Mukaddam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mona Al Mukaddam affiliated with any hospitals?

According to CMS data, Mona Al Mukaddam is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Main Line Hospital Lankenau, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Mona Al Mukaddam was last updated on November 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.