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DR. RIAD SALEM ALMUDALLAL MD
NPI 1245220763
Internal Medicine - Gastroenterology in Hagerstown, MD

Active since October 26, 2005PECOS Enrolled
95.11/100
CMS Quality Rating
11110 MEDICAL CAMPUS RD STE 246, HAGERSTOWN, MD 21742(301) 665-4585 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2024, Dec 5, 2022, Apr 22, 2022 and 2 more (5 updates tracked since 2021).

About Dr. Riad Salem Almudallal Md NPPES

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

DR. RIAD SALEM ALMUDALLAL MD (NPI 1245220763) is an individual gastroenterology provider in Hagerstown, Maryland, licensed in Maryland (D93995) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains 15 additional practice locations.

NPPES Registry Identity

NPI1245220763
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RIAD SALEM ALMUDALLALCredential: MD
Location Address11110 MEDICAL CAMPUS RD STE 246Hagerstown, MD 21742-6756
Mailing Address1939 Roland Clarke Pl Ste 200Reston, VA 20191-1445 · (703) 435-3366 · Fax (703) 782-8833
Phone(301) 665-4585
Sole ProprietorYes
Enumeration DateOctober 26, 2005
Last NPPES UpdateSeptember 24, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1245220763 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 MD · D93995✔ Licensed in OH · 35053410✔ Licensed in VA · 0101058637✔ Licensed in FL · ME106048
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.

11110 MEDICAL CAMPUS RD STE 246, Hagerstown, MD 21742
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Secondary Practice Locations 15

Location 134501 Aurora Rd, Suite# 306Solon, OH 44139-3873 · Phone (440) 498-0972 · Fax (440) 498-0978
Location 2504 E Ridgeville BlvdMount Airy, MD 21771-5942 · Phone (240) 215-6310
Location 31562 Opossumtown PikeFrederick, MD 21702-4920 · Phone (240) 215-6310
Location 4501 W 7th StFrederick, MD 21701-4586 · Phone (240) 215-6310
Location 5194 Thomas Johnson DrFrederick, MD 21702-4679 · Phone (240) 215-6310
Location 61871 Evelyn Byrd AveHarrisonburg, VA 22801-3487 · Phone (540) 564-5800 · Fax (833) 552-3026
Location 775 Thomas Johnson DrFrederick, MD 21702-4895 · Phone (240) 215-6310
Location 816403 Old Emmitsburg RdEmmitsburg, MD 21727-8929 · Phone (240) 215-6310
Location 9141 Thomas Johnson DrFrederick, MD 21702-4502 · Phone (301) 846-0100
Location 10400 W 7th StFrederick, MD 21701-4506 · Phone (240) 215-6310
Location 1115 E Frederick StWalkersville, MD 21793-8234 · Phone (240) 215-6310
Location 12230 W Patrick StFrederick, MD 21701-6945 · Phone (240) 215-6310
Location 133000D Ventrie CtMyersville, MD 21773-7817 · Phone (240) 215-6310
Location 147211 Bank CtFrederick, MD 21703-8483 · Phone (240) 215-6310
Location 153430 Worthington BlvdFrederick, MD 21704-7017 · Phone (240) 215-6310

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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. Riad Salem Almudallal Md 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.

Areas of Expertise CMS Part B claims

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 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%68 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%51 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%95 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
49%95 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%95 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

DR. CHUNWEI WALTER LAI M.D., PH.D.
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
DR. RASHID HANIF M.D.
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
DR. SHOWKAT BASHIR MD
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
DR. PEAR MOHAMMAD ENAM M.D.
Specialist
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
ERIN OMAN CRNP
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
MEDICAL PRACTICES OF ANTIETAM LLC
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585

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 Riad Almudallal's NPI number?

The NPI number for Riad Almudallal is 1245220763. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Riad Almudallal located?

Riad Almudallal practices at 11110 Medical Campus Rd Ste 246, Hagerstown, MD 21742. The listed phone number is (301) 665-4585.

What is Riad Almudallal's specialty?

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

Is Riad Almudallal enrolled in Medicare?

Yes. Riad Almudallal is registered in the Medicare PECOS enrollment system.

What insurance does Riad Almudallal accept?

Health plans from CareSource list Riad Almudallal 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.

When was this NPI record last updated?

The NPPES record for Riad Almudallal was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.