DR. TALAL IMAD MOUSALLEM M.D.
NPI 1487812749
Pediatrics - Pediatric Allergy/Immunology in Winston Salem, NC

Q: What is Talal Mousallem's NPI number?

The NPI number for Talal Mousallem is 1487812749. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Q: What is Talal Mousallem's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Q: When was this NPI record last updated?

The NPPES record for Talal Mousallem was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 22, 2008PECOS EnrolledAccepts Medicare Assignment

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Talal Imad Mousallem M.d. NPPES

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

DR. TALAL IMAD MOUSALLEM M.D. (NPI 1487812749) is an individual pediatric allergy/immunology provider in Winston Salem, North Carolina, licensed in North Carolina (2010-01468) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1487812749

Entity TypeIndividualMale

Primary Taxonomy2080P0201X

Provider Legal NameDR. TALAL IMAD MOUSALLEMCredential: M.D.

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255

Phone(336) 716-2255

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 22, 2008

Last NPPES UpdateDecember 18, 2014

✔ NPI 1487812749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

License✔ Licensed in NC · 2010-01468

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 2010-01468 (NC)

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Other Identifiers 9

Other1487812749VA · Virginia Medicaid

OtherQ0146OSC · Sc Medicaid

Medicare PINNCG485ANC

Other276230NC · Medcost

Medicaid1487812749NC

Other1487812749NC · Tricare

Other1846BNC · Bcbs

Other3846320NC · Uhc

Other4762627NC · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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. Talal Imad Mousallem 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 ID7517197379

PECOS Enrollment IDI20140224001149

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier12 claims12 services$18.43 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

2 suppliers25 claims67 services$33.54 avg. paid by Medicare

Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J1575

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier12 claims4,200 services$12.32 avg. paid by Medicare

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

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.

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