DR. MAMDOUH N MIJALLI MD
NPI 1265507149
Surgery in Dillon, SC

Q: What is Mamdouh Mijalli's NPI number?

The NPI number for Mamdouh Mijalli is 1265507149. It was assigned to this individual provider in the NPPES registry on November 23, 2006.

Q: What is Mamdouh Mijalli's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Mamdouh Mijalli was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 November 23, 2006PECOS EnrolledAccepts Medicare Assignment

705 N 8TH AVE, SUITE 2B, DILLON, SC 29536(843) 841-3846(843) 841-3848 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Mamdouh N Mijalli Md NPPES

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

DR. MAMDOUH N MIJALLI MD (NPI 1265507149) is an individual surgery provider in Dillon, South Carolina, licensed in South Carolina (29714) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1265507149

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MAMDOUH N MIJALLICredential: MD

Location Address705 N 8TH AVE, SUITE 2BDillon, SC 29536-2549

Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 841-3846 · Fax (843) 841-3848

Phone(843) 841-3846

Fax(843) 841-3848

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateNovember 23, 2006

Last NPPES UpdateFebruary 22, 2021

NPPES CertifiedFebruary 22, 2021

✔ NPI 1265507149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in SC · 29714

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

705 N 8TH AVE, Dillon, SC 29536

Open in Google Maps ↗

Other Identifiers 1

Medicaid297146SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Dr. Mamdouh N Mijalli 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 ID1456446038

PECOS Enrollment IDI20070927000211

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 12

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 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.

167 services110 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.

145 services145 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.

50 services43 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.

40 services36 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.

27 services27 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

26 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 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.

25 services25 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

23 services23 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.

21 services21 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.

14 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29536 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

4 suppliers11 claims380 services$3.12 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier12 claims12 services$179.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 14

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

DILLON INTERNAL MEDICINE ASSOCIATES PA

Internal Medicine

705 N 8TH AVE, SUITE 1A
DILLON, SC 29536

Dillon County (843) 774-2478

DR. JAMES NICHOLAS WALLACE M.D.

Internal Medicine

705 N 8TH AVE, SUITE 1A
DILLON, SC 29536

Dillon County (843) 774-2478

MCLEOD PHYSICIAN ASSOCIATES II

Pediatrics

705 N 8TH AVE, STE 3A
DILLON, SC 29536

Dillon County (843) 774-6091

MICHAEL J SUTTON DO

Orthopaedic Surgery (Sports Medicine)

705 N 8TH AVE, SUITE 1B
DILLON, SC 29536

Dillon County (843) 487-1588

JAMES P WALLACE MD

Internal Medicine

705 N 8TH AVE, SUITE 1A
DILLON, SC 29536

Dillon County (843) 774-2478

MCLEOD PHYSICIAN ASSOCIATES II

Orthopaedic Surgery

705 N 8TH AVE, SUITE 1B
DILLON, SC 29536

Dillon County (843) 487-1588

DR. ALTO BERNAT ODIN JR. D.O.

Hospitalist

705 N 8TH AVE, SUITE 1A
DILLON, SC 29536

Dillon County (843) 774-2478

ADRIENNE LICARI

Nurse Practitioner (Primary Care)

705 N 8TH AVE, SUITE 1A
DILLON, SC 29536

Dillon County (843) 774-2478

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 Mamdouh Mijalli's NPI number?

The NPI number for Mamdouh Mijalli is 1265507149. It was assigned to this individual provider in the NPPES registry on November 23, 2006.

Where is Mamdouh Mijalli located?

Mamdouh Mijalli practices at 705 N 8th Ave Suite 2B, Dillon, SC 29536. The listed phone number is (843) 841-3846.

What is Mamdouh Mijalli's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mamdouh Mijalli enrolled in Medicare?

Yes. Mamdouh Mijalli 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 Mamdouh Mijalli accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Mamdouh Mijalli 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 Mamdouh Mijalli affiliated with any hospitals?

According to CMS data, Mamdouh Mijalli is affiliated with Mcleod Regional Medical Center-Pee Dee and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Mamdouh Mijalli was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.