Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MUDAR DALLOUL M.D.
NPI 1053307348
Obstetrics & Gynecology in Brooklyn, NY

Active since September 22, 2005PECOS Enrolled
93.49/100
CMS Quality Rating
450 CLARKSON AVE, SUITE G, BROOKLYN, NY 11203(718) 363-2908(718) 270-4122 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mudar Dalloul M.d. NPPES

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

DR. MUDAR DALLOUL M.D. (NPI 1053307348) is an individual obstetrics & gynecology provider in Brooklyn, New York, licensed in New York (227244-1) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053307348
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MUDAR DALLOULCredential: M.D.
Location Address450 CLARKSON AVE, SUITE GBrooklyn, NY 11203-2056
Mailing Address450 Clarkson Ave, Box 1262Brooklyn, NY 11203-2056 · (718) 270-8867 · Fax (718) 270-1794
Fax(718) 270-4122
Sole ProprietorNo
Enumeration DateSeptember 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1053307348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 227244-1
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
450 CLARKSON AVE, Brooklyn, NY 11203

Other Identifiers 1

Medicaid02377071NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mudar Dalloul M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

93.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.62
Promoting Interoperability90.58
Improvement Activities40

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.

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Mudar Dalloul's NPI number?

The NPI number for Mudar Dalloul is 1053307348. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Mudar Dalloul located?

Mudar Dalloul practices at 450 Clarkson Ave Suite G, Brooklyn, NY 11203. The listed phone number is (718) 363-2908.

What is Mudar Dalloul's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mudar Dalloul enrolled in Medicare?

Yes. Mudar Dalloul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mudar Dalloul was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.