OSAMA KHALED ALI KADDOURAH M.D.
NPI 1619358181
Internal Medicine - Gastroenterology in Salisbury, MD

Q: What is Osama Kaddourah's NPI number?

The NPI number for Osama Kaddourah is 1619358181. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Q: What is Osama Kaddourah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Osama Kaddourah was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 10, 2015PECOS EnrolledAccepts Medicare Assignment

79.47/100

CMS Quality Rating

1640 WOODBROOKE DR, SALISBURY, MD 21804(410) 912-5640 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2018, Feb 8, 2016 (2 updates tracked since 2016).

On this page

About Osama Khaled Ali Kaddourah M.d. NPPES

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

OSAMA KHALED ALI KADDOURAH M.D. (NPI 1619358181) is an individual gastroenterology provider in Salisbury, Maryland, licensed in Maryland (D0092318) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Umd Upper Chesapeake Medical Center, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1619358181

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameOSAMA KHALED ALI KADDOURAHCredential: M.D.

Location Address1640 WOODBROOKE DRSalisbury, MD 21804-8501

Mailing Address1640 Woodbrooke DrSalisbury, MD 21804-8501 · (410) 912-5640

Phone(410) 912-5640

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 10, 2015

Last NPPES UpdateAugust 31, 20212 updates tracked since enumeration

NPPES CertifiedAugust 31, 2021

✔ NPI 1619358181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in MD · D0092318✔ Licensed in MO · 2015017267

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2015017267 (MO)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1640 WOODBROOKE DR, Salisbury, MD 21804

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Secondary Practice Location 1

Location 12301 Holmes StreetKansas City, MO 64108 · Phone (816) 404-4862

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

Osama Khaled Ali Kaddourah 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 ID5294038741

PECOS Enrollment IDI20211028002824

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

Medicare enrollment records show Osama Kaddourah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tidalhealth Specialty Care, LLC

2.4 mi

Medical Specialty

100 E CARROLL ST
Salisbury, MD 21801

Reassigned Medicare billing, Maryland enrollment
531 clinicians in this Medicare group

NPI 1619504735 (410) 546-6400

University Of Maryland Physicians PA

86 mi

Pulmonary Disease

22 S GREENE ST
Baltimore, MD 21201

Reassigned Medicare billing, Maryland enrollment
614 clinicians in this Medicare group

NPI 1144270687 (410) 328-8040

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 17

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

279 services220 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

232 services231 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

185 services161 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

109 services105 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

89 services86 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.

84 services59 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

74 services74 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

57 services40 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

44 services44 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

39 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

36 services36 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

34 services34 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

31 services31 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

29 services29 patients

Control of bleeding of upper large bowel using a flexible endoscope 45382

This procedure involves using a flexible endoscope, a thin tube with a light and camera, to view and control bleeding in the upper large bowel. Special tools can be passed through the endoscope to stop the bleeding. It's a minimally invasive way to address this issue.

18 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210049

Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21804 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

79.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.23

Promoting Interoperability

Improvement Activities

Cost

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIDALHEALTH SPECIALTY CARE, LLC

Internal Medicine (Gastroenterology)

1640 WOODBROOKE DR
SALISBURY, MD 21804

Wicomico County (410) 912-5640

DHRUVKUMAR M. PATEL MBBS

Internal Medicine

1640 WOODBROOKE DR
SALISBURY, MD 21804

Wicomico County (410) 912-5640

GABRIELLE CULVER MSN, FNP

Nurse Practitioner (Family)

1640 WOODBROOKE DR
SALISBURY, MD 21804

Wicomico County (410) 912-5640

HWAN YOUNG YOO MD

Internal Medicine (Gastroenterology)

1640 WOODBROOKE DR
SALISBURY, MD 21804

Wicomico County (410) 912-5640

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 Osama Kaddourah's NPI number?

The NPI number for Osama Kaddourah is 1619358181. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Osama Kaddourah located?

Osama Kaddourah practices at 1640 Woodbrooke Dr, Salisbury, MD 21804. The listed phone number is (410) 912-5640.

What is Osama Kaddourah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Osama Kaddourah enrolled in Medicare?

Yes. Osama Kaddourah 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 Osama Kaddourah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Osama Kaddourah reassigns Medicare benefits to 2 organizations: Tidalhealth Specialty Care, LLC (Salisbury, MD) and University Of Maryland Physicians PA (Baltimore, MD). 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 Osama Kaddourah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Osama Kaddourah affiliated with any hospitals?

According to CMS data, Osama Kaddourah is affiliated with Umd Upper Chesapeake Medical Center.

When was this NPI record last updated?

The NPPES record for Osama Kaddourah was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.