MIKAEL FADOUL MD
NPI 1053974824
Surgery - Vascular Surgery in Newark, DE

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 1E20, NEWARK, DE 19718(302) 733-5700(302) 733-5775 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2024, Apr 17, 2019 (2 updates tracked since 2019).

About Mikael Fadoul Md NPPES

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

MIKAEL FADOUL MD (NPI 1053974824) is an individual vascular surgery provider in Newark, Delaware, licensed in Delaware (C1-0027330) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Temple University School Of Medicine (2019).

NPPES Registry Identity

NPI1053974824
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameMIKAEL FADOULCredential: MD
Location Address4755 OGLETOWN STANTON RD STE 1E20Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd Ste 1e20Newark, DE 19718-2200 · (302) 733-5700 · Fax (302) 733-5775
Fax(302) 733-5775
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2019
Enumeration DateApril 17, 2019
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
NPI 1053974824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in DE · C1-0027330
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

4755 OGLETOWN STANTON RD STE 1E20, Newark, DE 19718

Accepted 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

Mikael Fadoul 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 ID8022558667
PECOS Enrollment IDI20240910000740, I20240912001862
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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES 4

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

Surgery (Vascular Surgery)
4755 OGLETOWN STANTON RD STE 1E20
NEWARK, DE 19718
Nurse Practitioner (Family)
4755 OGLETOWN STANTON RD STE 1E20
NEWARK, DE 19718
Nurse Practitioner (Family)
4755 OGLETOWN STANTON RD STE 1E20
NEWARK, DE 19718
Radiology (Vascular & Interventional Radiology)
4755 OGLETOWN STANTON RD STE 1E20
NEWARK, DE 19718

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 Mikael Fadoul's NPI number?

The NPI number for Mikael Fadoul is 1053974824. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Mikael Fadoul located?

Mikael Fadoul practices at 4755 Ogletown Stanton Rd Ste 1e20, Newark, DE 19718. The listed phone number is (302) 733-5700.

What is Mikael Fadoul's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Mikael Fadoul enrolled in Medicare?

Yes. Mikael Fadoul 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 Mikael Fadoul accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Mikael Fadoul 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 Mikael Fadoul affiliated with any hospitals?

According to CMS data, Mikael Fadoul is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Mikael Fadoul was last updated on August 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.