MR. ABDELRAHMAN GADALLAH M.D.
NPI 1699450890
Student in an Organized Health Care Education/Training Program in St.louis, MO

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment
SSM HEALTH ST. MARY'S HOSPITAL, DEPT. OF INTERNAL, MEDICINE 6420 CLAYTON RD, ST.LOUIS, MO 63117(314) 768-8778 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Jun 16, 2023 (2 updates tracked since 2023).

About Mr. Abdelrahman Gadallah M.d. NPPES

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

MR. ABDELRAHMAN GADALLAH M.D. (NPI 1699450890) is an individual student in an organized health care education/training program in St.louis, Missouri and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699450890
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ABDELRAHMAN GADALLAHCredential: M.D.
Location AddressSSM HEALTH ST. MARY'S HOSPITAL, DEPT. OF INTERNAL, MEDICINE 6420 CLAYTON RDSt.louis, MO 63117
Mailing AddressSsm Health St. Mary's Hospital, Dept. Of Internal, Medicine 6420 Clayton RdSt.louis, MO 63117 · (314) 768-8778
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 16, 2023
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1699450890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 1026553 (MA)
SSM HEALTH ST. MARY'S HOSPITAL, DEPT. OF INTERNAL, St.louis, MO 63117

Secondary Practice Locations 3

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500
Location 255 Fruit StBoston, MA 02114-2621 · Phone (617) 724-3874
Location 31153 Centre StJamaica Plain, MA 02130-3446 · Phone (617) 983-7000

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

Mr. Abdelrahman Gadallah 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 ID9133687601
PECOS Enrollment IDI20260814002536
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

3

Medicare enrollment records show Abdelrahman Gadallah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 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.

Hospital Affiliations CMS Care Compare

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

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

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 Abdelrahman Gadallah's NPI number?

The NPI number for Abdelrahman Gadallah is 1699450890. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Abdelrahman Gadallah located?

Abdelrahman Gadallah practices at Ssm Health St. Mary's Hospital, Dept. Of Internal Medicine 6420 Clayton Rd, St.Louis, MO 63117. The listed phone number is (314) 768-8778.

What is Abdelrahman Gadallah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Abdelrahman Gadallah enrolled in Medicare?

Yes. Abdelrahman Gadallah 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 Abdelrahman Gadallah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdelrahman Gadallah reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). 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 Abdelrahman Gadallah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Abdelrahman Gadallah affiliated with any hospitals?

According to CMS data, Abdelrahman Gadallah is affiliated with Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Abdelrahman Gadallah was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.