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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY RADDAWI
NPI 1619504792
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since March 26, 2020PECOS Enrolled
3400 SPRUCE STREET, 3 RAVDIN BLDG. STE. F, PHILADELPHIA, PA 19104(215) 662-3202 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 5, 2026, Apr 19, 2020, Mar 26, 2020 (3 updates tracked since 2020).

About Mary Raddawi NPPES

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

MARY RADDAWI (NPI 1619504792) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD495698) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1619504792
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMARY RADDAWI
Location Address3400 SPRUCE STREET, 3 RAVDIN BLDG. STE. FPhiladelphia, PA 19104-4206
Mailing Address55 Fruit StBoston, MA 02114-2621 · (617) 726-5820
Phone(215) 662-3202
Sole ProprietorYes
Enumeration DateMarch 26, 2020
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1619504792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD495698
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3400 SPRUCE STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 726-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Raddawi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19104 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.

SARAH KUMAR M.D.
Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
RYAN MCCLINTOCK MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
ADRIAN W ONG MD
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7320
MATHEW N BESHARA MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JILL E LANGER MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7012
BERNADETTE C WHEELER MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2730
EDWARD T DICKINSON MD
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6698
WENDY RACHEL GALPERN MD, PHD
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2219

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 Mary Raddawi's NPI number?

The NPI number for Mary Raddawi is 1619504792. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Mary Raddawi located?

Mary Raddawi practices at 3400 Spruce Street 3 Ravdin Bldg. Ste. F, Philadelphia, PA 19104. The listed phone number is (215) 662-3202.

What is Mary Raddawi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mary Raddawi enrolled in Medicare?

Yes. Mary Raddawi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Raddawi was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.