DR. MAHMOUD MOHAMED ELFADIL MD
NPI 1669907242
Hospitalist in Iowa City, IA
About Dr. Mahmoud Mohamed Elfadil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MAHMOUD MOHAMED ELFADIL MD (NPI 1669907242) is an individual hospitalist provider in Iowa City, Iowa, licensed in Iowa (MD-48097) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Mahmoud Mohamed Elfadil 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.
Medicare Billing Reassignments
16Medicare enrollment records show Mahmoud Mohamed Elfadil reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Iowa City, IA 52242
- Reassigned Medicare billing, Iowa enrollment
- 2,190 clinicians in this Medicare group
Mount Pleasant, IA 52641
- Reassigned Medicare billing, California and Iowa enrollments
- Also billed through NPI 1811571417 (Iowa)
- 8 clinicians in this Medicare group
Davenport, IA 52803
- Reassigned Medicare billing, Iowa enrollment
- 358 clinicians in this Medicare group
West Burlington, IA 52655
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Peoria, IL 61636
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 12 clinicians in this Medicare group
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 300 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Iowa Health Care Medical Center Down
Acute Care Hospitals · Iowa City, IAGenesis Medical Center-Davenport
Acute Care Hospitals · Davenport, IAUniversity Of Iowa Hospital & Clinics
Acute Care Hospitals · Iowa City, IAColumbia Memorial Hospital
Critical Access Hospitals · Astoria, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52245 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
IOWA CITY, IA 52245
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 Mahmoud Mohamed Elfadil's NPI number?
The NPI number for Mahmoud Mohamed Elfadil is 1669907242. It was assigned to this individual provider in the NPPES registry on April 20, 2017.
Where is Mahmoud Mohamed Elfadil located?
Mahmoud Mohamed Elfadil practices at 500 E Market St, Iowa City, IA 52245. The listed phone number is (319) 339-3551.
What is Mahmoud Mohamed Elfadil's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Mahmoud Mohamed Elfadil enrolled in Medicare?
Yes. Mahmoud Mohamed Elfadil 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 Mahmoud Mohamed Elfadil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mahmoud Mohamed Elfadil reassigns Medicare benefits to 16 organizations: State University Of Iowa (Iowa City, IA), Henry County Health Center Inc (Mount Pleasant, IA), Genesis Health System (Davenport, IA), Southeast Iowa Regional Medical Center, Inc. (West Burlington, IA), Methodist Medical Center Of Illinois (Peoria, IL) and 11 more organizations, listed in the Medicare section above. 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 Mahmoud Mohamed Elfadil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mahmoud Mohamed Elfadil accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource, Moda Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Mahmoud Mohamed Elfadil 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 Mahmoud Mohamed Elfadil affiliated with any hospitals?
According to CMS data, Mahmoud Mohamed Elfadil is affiliated with University Of Iowa Health Care Medical Center Down, Genesis Medical Center-Davenport, University Of Iowa Hospital & Clinics and Columbia Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mahmoud Mohamed Elfadil was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Mahmoud Mohamed Elfadil, MD · NPI 1669907242
Hospitalist physician in Iowa City, Iowa. Individual provider, active in the CMS NPPES registry since April 20, 2017.
## Identity
- **NPI:** 1669907242 (Entity type: Individual)
- **Enumerated:** April 20, 2017
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD-48097 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 E MARKET ST, Iowa City, IA 52245-2633
- **Phone:** (319) 339-3551
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): State University Of Iowa (NPI 1598736241, Iowa City, IA); Henry County Health Center Inc (NPI 1871177477, Mount Pleasant, IA); Genesis Health System (NPI 1528616901, Davenport, IA); Southeast Iowa Regional Medical Center, Inc. (NPI 1164433884, West Burlington, IA); Methodist Medical Center Of Illinois (NPI 1164474755, Peoria, IL); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669907242) · Data from the CMS NPPES public registry.