DR. MOHAMMAD M AL MADANI M.D.
NPI 1306009071
Internal Medicine - Interventional Cardiology in Philadelphia, PA
About Dr. Mohammad M Al Madani M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MOHAMMAD M AL MADANI M.D. (NPI 1306009071) is an individual interventional cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD468806) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Accepted 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. Mohammad M Al Madani M.d. 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.
Medicare Billing Reassignments
7Medicare enrollment records show Mohammad Al Madani reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
Phoenixville, PA 19460
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
Reading, PA 19601
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 994 clinicians in this Medicare group
East Earl, PA 17519
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Ephrata, PA 17522
- Reassigned Medicare billing, Pennsylvania enrollment
- 27 clinicians in this Medicare group
Ashland, KY 41101
- Reassigned Medicare billing, Ohio enrollment
- 177 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albert Einstein Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
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 Mohammad Al Madani's NPI number?
The NPI number for Mohammad Al Madani is 1306009071. It was assigned to this individual provider in the NPPES registry on July 3, 2008.
Where is Mohammad Al Madani located?
Mohammad Al Madani practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (740) 727-2272.
What is Mohammad Al Madani's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Mohammad Al Madani enrolled in Medicare?
Yes. Mohammad Al Madani 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 Mohammad Al Madani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Al Madani reassigns Medicare benefits to 7 organizations: Einstein Practice Plan, Inc (Philadelphia, PA), Phoenixville Clinic Company LLC (Phoenixville, PA), Reading Hospital (Reading, PA), Penn State Health Medical Group, LLC (West Reading, PA), Wellspan Medical Group (East Earl, PA) and 2 more organizations, listed in the Medicare section above. 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 Mohammad Al Madani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mohammad Al Madani accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Mohammad Al Madani 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 Mohammad Al Madani affiliated with any hospitals?
According to CMS data, Mohammad Al Madani is affiliated with Albert Einstein Medical Center.
When was this NPI record last updated?
The NPPES record for Mohammad Al Madani was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Dr. Mohammad M Al Madani, M.D. · NPI 1306009071
Interventional Cardiology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 3, 2008.
## Identity
- **NPI:** 1306009071 (Entity type: Individual)
- **Enumerated:** July 3, 2008
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** MD468806 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 OLD YORK RD, Philadelphia, PA 19141-3018
- **Phone:** (740) 727-2272
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Einstein Practice Plan, Inc (NPI 1396327151, Philadelphia, PA); Phoenixville Clinic Company LLC (NPI 1275173957, Phoenixville, PA); Reading Hospital (NPI 1386702413, Reading, PA); Penn State Health Medical Group, LLC (NPI 1609347152, West Reading, PA); Wellspan Medical Group (NPI 1265983613, East Earl, PA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 4, 2024
- **Other identifiers:** Medicaid 7100457130 (KY); Medicaid 200595800A (OK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1306009071) · Data from the CMS NPPES public registry.