DR. MOHAMMAD M AL MADANI M.D.
NPI 1306009071
Internal Medicine - Interventional Cardiology in Philadelphia, PA

Q: 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.

Q: 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.

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment

5501 OLD YORK RD, PHILADELPHIA, PA 19141(740) 727-2272 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2024, May 8, 2023, Oct 11, 2019 and 5 more (8 updates tracked since 2016).

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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 is a graduate of Other (2006).

NPPES Registry Identity

NPI1306009071

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. MOHAMMAD M AL MADANICredential: M.D.

Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018

Mailing Address5501 Old York RdPhiladelphia, PA 19141-3018 · (740) 727-2272

Phone(740) 727-2272

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 3, 2008

Last NPPES UpdateNovember 4, 20248 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1306009071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in PA · MD468806✔ Licensed in AR · E-9099✔ Licensed in KY · 49835✔ Licensed in OH · 35.129915

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

5501 OLD YORK RD, Philadelphia, PA 19141

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Other Identifiers 2

Medicaid7100457130KY

Medicaid200595800AOK

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, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1355653163

PECOS Enrollment IDI20191105000909

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

89 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

70 services43 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.

67 services45 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

59 services54 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.

43 services29 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services32 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services13 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

23 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 services19 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

17 services12 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

15 services15 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

12 services12 patients

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, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390142

Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County

Emergency services Birthing friendly

Physician 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.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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.

KENNETH KLECKNER MD

Emergency Medicine

5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-6679

MS. AMMAN HASSAN MD

Pediatrics

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-3810

TAYLOR NICOLE THOMPSON PA-C

Physician Assistant (Medical)

5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141

Philadelphia County (215) 254-2630

STEPHEN RYAN CHEN

Orthopaedic Surgery

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

DR. DHRUV SHARMA MD

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

TIMOTHY DANIEL GARDNER DO

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

DR. JONATHAN THOMAS LUCIANI DO

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

ASHIKA KAPOOR MD

Psychiatry & Neurology (Psychiatry)

5501 OLD YORK RD
PHILA, PA 19141

Philadelphia County (215) 456-8103

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.

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 21 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.