DR. HOSSAM M KANDIL MD
NPI 1235103896
Internal Medicine - Gastroenterology in Pittsburgh, PA

Q: What is Hossam Kandil's NPI number?

The NPI number for Hossam Kandil is 1235103896. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Hossam Kandil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Hossam Kandil was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

1307 FEDERAL ST, STE B100, PITTSBURGH, PA 15212(412) 359-8900(412) 359-8977 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Nov 18, 2020, Oct 5, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Hossam M Kandil Md NPPES

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

DR. HOSSAM M KANDIL MD (NPI 1235103896) is an individual gastroenterology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD068316L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235103896

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. HOSSAM M KANDILCredential: MD

Location Address1307 FEDERAL ST, STE B100Pittsburgh, PA 15212-4769

Mailing Address1307 Federal St, Ste B100Pittsburgh, PA 15212-4769 · (412) 359-8900 · Fax (412) 359-8977

Phone(412) 359-8900

Fax(412) 359-8977

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateFebruary 13, 2006

Last NPPES UpdateApril 21, 20265 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1235103896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in PA · MD068316L✔ Licensed in WV · 36401

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1307 FEDERAL ST, Pittsburgh, PA 15212

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Secondary Practice Locations 2

Location 11000 Mon Health Medical Park Dr Ste 1101Morgantown, WV 26505-1143 · Phone (304) 598-2700

Location 21200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200

Other Identifiers 2

Medicaid001794930PA

Other11345503Caqh

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 and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hossam M Kandil 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 ID4688856008

PECOS Enrollment IDI20141031000250, I20260505002187

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.

Medicare Billing Reassignments

Medicare enrollment records show Hossam Kandil reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic

Same address

Physical Medicine & Rehabilitation

1307 FEDERAL ST, 2ND FLOOR
Pittsburgh, PA 15212

Reassigned Medicare billing, Pennsylvania enrollment
2,881 clinicians in this Medicare group

NPI 1043210420 (877) 660-6777

Glade Run Medical Associates Inc

22 mi

Family Medicine

112 CAPITOL PARK DR
Sarver, PA 16055

Reassigned Medicare billing, Pennsylvania enrollment
36 clinicians in this Medicare group

NPI 1649616921 (724) 543-5919

Dlp Conemaugh Physician Practices LLC

43 mi

Family Medicine

200 W MAIN ST
Ligonier, PA 15658

Reassigned Medicare billing, Pennsylvania enrollment
771 clinicians in this Medicare group

NPI 1588070551 (724) 238-9581

Monongalia County General Hospital Company

55 mi

General Acute Care Hospital

1200 JD ANDERSON DRIVE
Morgantown, WV 26505

Reassigned Medicare billing, West Virginia enrollment
318 clinicians in this Medicare group

NPI 1659489631 (304) 598-1560

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

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.

67 services63 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

46 services46 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

45 services44 patients

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.

43 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

40 services29 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.

22 services19 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

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

19 services19 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

18 services18 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.

18 services16 patients

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.

17 services15 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

14 services12 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.

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.

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390032

Location1301 Carlisle StNatrona, PA 15065 · Allegheny County

Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390090

Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County

Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Forbes Hospital

Acute Care Hospitals · Monroeville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390267

Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County

Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

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.

JESSICA MANSURIA CRNA

Nurse Anesthetist, Certified Registered

1307 FEDERAL ST, SUITE 101
PITTSBURGH, PA 15212

Allegheny County (412) 231-6550

LISA MORROW LAT, ATC

Specialist/Technologist (Athletic Trainer)

1307 FEDERAL ST
PITTSBURGH, PA 15212

Allegheny County (412) 268-0074

ROBERT G. SIMERLINK JR. CRNA

Nurse Anesthetist, Certified Registered

1307 FEDERAL ST, SUITE 101
PITTSBURGH, PA 15212

Allegheny County (412) 231-6550

DR. MICHAEL J FARRELL MD

Internal Medicine

1307 FEDERAL ST, SUITE B300
PITTSBURGH, PA 15212

Allegheny County (412) 359-3751

DR. RENEE FLANNAGAN M.D.

Internal Medicine (Gastroenterology)

1307 FEDERAL ST, SUITE B100
PITTSBURGH, PA 15212

Allegheny County (412) 359-8900

JEFFREY K COHEN MD

Urology

1307 FEDERAL ST, SUITE 300
PITTSBURGH, PA 15212

Allegheny County (412) 281-1757

MRS. ALEXANDRA G ANDROMALOS PA-C

Physician Assistant (Surgical)

1307 FEDERAL ST, FLOOR 2
PITTSBURGH, PA 15212

Allegheny County (877) 660-6777

ALLEGHENY CLINIC

Physical Medicine & Rehabilitation

1307 FEDERAL ST, 2ND FLOOR
PITTSBURGH, PA 15212

Allegheny County (877) 660-6777

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 Hossam Kandil's NPI number?

The NPI number for Hossam Kandil is 1235103896. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Hossam Kandil located?

Hossam Kandil practices at 1307 Federal St Ste B100, Pittsburgh, PA 15212. The listed phone number is (412) 359-8900.

What is Hossam Kandil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hossam Kandil enrolled in Medicare?

Yes. Hossam Kandil 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.

Which organizations bill Medicare for Hossam Kandil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hossam Kandil reassigns Medicare benefits to 4 organizations: Allegheny Clinic (Pittsburgh, PA), Glade Run Medical Associates Inc (Sarver, PA), Dlp Conemaugh Physician Practices LLC (Ligonier, PA) and Monongalia County General Hospital Company (Morgantown, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hossam Kandil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hossam Kandil accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Hossam Kandil 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 Hossam Kandil affiliated with any hospitals?

According to CMS data, Hossam Kandil is affiliated with Allegheny Valley Hospital, West Penn Hospital, Conemaugh Memorial Medical Center, Forbes Hospital and Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Hossam Kandil was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.