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MOHANAD M FALLOUH M.D.
NPI 1619915527
Internal Medicine in Philadelphia, PA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
6950 GERMANTOWN AVE, PHILADELPHIA, PA 19119(484) 443-4406(484) 448-2203 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mohanad M Fallouh M.d. NPPES

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

MOHANAD M FALLOUH M.D. (NPI 1619915527) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD443377) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1619915527
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHANAD M FALLOUHCredential: M.D.
Location Address6950 GERMANTOWN AVEPhiladelphia, PA 19119-2120
Mailing Address6950 Germantown AvePhiladelphia, PA 19119-2114 · (484) 443-4406 · Fax (484) 448-2203
Phone(484) 443-4406
Fax(484) 448-2203
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 3, 2006
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1619915527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD443377✔ Licensed in MI · 4301083048
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.
6950 GERMANTOWN AVE, Philadelphia, PA 19119
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Other Identifiers 11

Other1103710361MI · Bcbsm
Medicaid4847475-10MI
Other1018503MI · Mclaren Health Plan
Other440771PA · Mlhc Medicare Aa #
Medicaid4732682-10MI
Other01005838MI · Healthplus Commercial
Medicaid4885019-10MI
Other1020183MI · Mclaren Health Plan
Other200000005731MI · Php Commercial
Other440771PA · Mlhc Bcbs Aa #
Other1016406MI · Mclaren Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mohanad M Fallouh 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 ID3971542564
PECOS Enrollment IDI20110822000194
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

2

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

Mmfallouh MD LLC
0.1 mi
Internal Medicine
6970 GERMANTOWN AVE
Philadelphia, PA 19119
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1538406475 (484) 448-2203
Todd D Aaron MD F A C P PC
2.0 mi
Internal Medicine
8815 GERMANTOWN AVE, SUITE 31
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1083657852 (215) 247-7990

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,783 services153 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.
192 services37 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
105 services64 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
102 services80 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
85 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19119 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$8.08 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims21 services$5.80 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.

INNOVAGE PENNSYLVANIA LIFE, LLC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
6950 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Philadelphia County (215) 951-4304
VLADIMIR ZAGREBELSKY M.D.
Internal Medicine (Geriatric Medicine)
6950 GERMANTOWN AVE, NEW COURTLAND LIFE
PHILADELPHIA, PA 19119
Philadelphia County (215) 951-4400
GIA RAE BARR COTA
Occupational Therapy Assistant
6950 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Philadelphia County (215) 848-3306
ANDREW GASTON
Registered Nurse
6950 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Philadelphia County (215) 642-2363
MELISSA GIORDANO
Pharmacist
6950 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Philadelphia County (267) 428-5187
ADRIANA EVE GALLUCCI M.A. CF-SLP
Speech-Language Pathologist
6950 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Philadelphia County (215) 848-3306
GERMANTOWN HOME
Skilled Nursing Facility
6950 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Philadelphia County (215) 951-4050
HELENE BAZELA PTA
Physical Therapy Assistant
6950 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Philadelphia County (215) 848-3306

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 Mohanad Fallouh's NPI number?

The NPI number for Mohanad Fallouh is 1619915527. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Mohanad Fallouh located?

Mohanad Fallouh practices at 6950 Germantown Ave, Philadelphia, PA 19119. The listed phone number is (484) 443-4406.

What is Mohanad Fallouh's specialty?

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

Is Mohanad Fallouh enrolled in Medicare?

Yes. Mohanad Fallouh 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 Mohanad Fallouh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohanad Fallouh reassigns Medicare benefits to 2 organizations: Mmfallouh MD LLC (Philadelphia, PA) and Todd D Aaron MD F A C P PC (Philadelphia, PA). 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 Mohanad Fallouh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohanad Fallouh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mohanad Fallouh 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.

Is Mohanad Fallouh affiliated with any hospitals?

According to CMS data, Mohanad Fallouh is affiliated with Temple Health - Chestnut Hill Hospital and Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Mohanad Fallouh was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.