RADWAN MALLAH MD
NPI 1376596015
Internal Medicine in Gadsden, AL

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
600 S 3RD ST, GADSDEN, AL 35901(256) 543-5200 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Oct 9, 2025, Dec 9, 2019 (3 updates tracked since 2019).

About Radwan Mallah Md NPPES

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

RADWAN MALLAH MD (NPI 1376596015) is an individual internal medicine provider in Gadsden, Alabama, licensed in Illinois (036.168338) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Pana Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376596015
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRADWAN MALLAHCredential: MD
Location Address600 S 3RD STGadsden, AL 35901-5304
Mailing AddressPo Box 11047Daytona Beach, FL 32120-1047 · (386) 274-7800 · Fax (386) 274-7801
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1376596015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036.168338✔ Licensed in AL · 18098
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 18098 (AL)
600 S 3RD ST, Gadsden, AL 35901

Secondary Practice Locations 3

Location 11900 Roosevelt RdValparaiso, IN 46383-2780 · Phone (219) 263-4900
Location 2PO BOX 635004CINCINNATI, OH 45263-5004 · Phone (888) 952-6772
Location 3101 E 9th StPana, IL 62557-1785 · Phone (217) 562-2131

Other Identifiers 5

Other18098AL · Worker's Comp
Other51555451AL · Blue Shield
Medicaid051555451AL
Medicaid009911272AL
Other51542980AL · Bc Bs

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

Radwan Mallah 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 ID7214835982
PECOS Enrollment IDI20241011000471
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

8

Medicare enrollment records show Radwan Mallah reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
600 S 3RD ST
Gadsden, AL 35901
  • Reassigned Medicare billing, Alabama enrollment
  • 112 clinicians in this Medicare group
Emergency Medicine
400 NORTHWOOD DR
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 50 clinicians in this Medicare group
Hospitalist
400 NORTHWOOD DR
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 43 clinicians in this Medicare group
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 646 clinicians in this Medicare group
Hospitalist
3690 GRANDVIEW PKWY
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 215 clinicians in this Medicare group
Multi-Specialty
103 W 6TH ST
Ramsey, IL 62080
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1942326970 (Illinois)
  • 98 clinicians in this Medicare group
Family Medicine
520 N CUNNINGHAM AVENUE
Urbana, IL 61802
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1790913903 (Illinois)
  • 201 clinicians in this Medicare group
Emergency Medicine
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Emergency Professionals Of Indiana PC
  • 404 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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
261 services244 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.
233 services218 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.
46 services46 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.24

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.

Nurse Anesthetist, Certified Registered
600 S 3RD ST
GADSDEN, AL 35901
Emergency Medicine
600 S 3RD ST
GADSDEN, AL 35901
Emergency Medicine
600 S 3RD ST
GADSDEN, AL 35901
Pharmacist
600 S 3RD ST
GADSDEN, AL 35901
Nurse Anesthetist, Certified Registered
600 S 3RD ST
GADSDEN, AL 35901
Emergency Medicine
600 S 3RD ST
GADSDEN, AL 35901
Nurse Anesthetist, Certified Registered
600 S 3RD ST
GADSDEN, AL 35901
Emergency Medicine
600 S 3RD ST
GADSDEN, AL 35901

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 Radwan Mallah's NPI number?

The NPI number for Radwan Mallah is 1376596015. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Radwan Mallah located?

Radwan Mallah practices at 600 S 3rd St, Gadsden, AL 35901. The listed phone number is (256) 543-5200.

What is Radwan Mallah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Radwan Mallah enrolled in Medicare?

Yes. Radwan Mallah 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 Radwan Mallah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Radwan Mallah reassigns Medicare benefits to 8 organizations: Alabama Emergency Physician Partners, LLC (Gadsden, AL), Cherokee County Physicians, LLC (Centre, AL), Weiss Lake Hospitalists, LLC (Centre, AL), Paragon Contracting Services LLC (Birmingham, AL), Oak Mountain Group Services, LLC (Birmingham, AL) and 3 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 Radwan Mallah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Radwan Mallah affiliated with any hospitals?

According to CMS data, Radwan Mallah is affiliated with Pana Community Hospital and Northwest Health - Porter.

When was this NPI record last updated?

The NPPES record for Radwan Mallah was last updated on April 14, 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.