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MOHAMMED FADLALLA MD
NPI 1538451992
Internal Medicine in Cincinnati, OH

Active since May 04, 2011PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
234 GOODMAN STREET, CINCINNATI, OH 45219(513) 584-4503 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mohammed Fadlalla Md NPPES

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

MOHAMMED FADLALLA MD (NPI 1538451992) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35126843) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2015).

NPPES Registry Identity

NPI1538451992
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAMMED FADLALLACredential: MD
Location Address234 GOODMAN STREETCincinnati, OH 45219-2364
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5504 · Fax (513) 585-5511
Phone(513) 584-4503
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2015
Enumeration DateMay 4, 2011
Last NPPES UpdateAugust 8, 2017
✔ NPI 1538451992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35126843
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.
234 GOODMAN STREET, Cincinnati, OH 45219
Open in Google Maps ↗

Other Identifiers 1

Medicare PINH384120OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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

Mohammed Fadlalla 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 ID446565923
PECOS Enrollment IDI20150812007952
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

MOISES ARTURO HUAMAN JOO M.D.
Internal Medicine (Infectious Disease)
234 GOODMAN STREET
CINCINNATI, OH 45219
Hamilton County (513) 584-6977
THOMAS MICHAEL HAFFNER MD
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
CASEY SCOTT GLENN MD
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINATTI, OH 45219
Hamilton County (513) 558-5281
CODY LEE STOTHERS MD
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
COURTNEY ELIZABETH KEIN MD
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
AKANKSHA ASHOK VAISHNAV
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
KALPESHKUMAR KANTILAL PANCHAL MD
Radiology (Diagnostic Radiology)
234 GOODMAN STREET, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45219
Hamilton County (513) 584-1584
TAYLOR ELAINE WALLEN MD
Student in an Organized Health Care Education/Training Program
234 GOODMAN STREET, DEPT GENERAL SURGERY
CINCINNATI, OH 45219
Hamilton County (513) 558-4206

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 Mohammed Fadlalla's NPI number?

The NPI number for Mohammed Fadlalla is 1538451992. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Mohammed Fadlalla located?

Mohammed Fadlalla practices at 234 Goodman Street, Cincinnati, OH 45219. The listed phone number is (513) 584-4503.

What is Mohammed Fadlalla's specialty?

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

Is Mohammed Fadlalla enrolled in Medicare?

Yes. Mohammed Fadlalla 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 Mohammed Fadlalla accept?

Health plans from CareSource and Oscar Health Insurance list Mohammed Fadlalla 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.

When was this NPI record last updated?

The NPPES record for Mohammed Fadlalla was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.