MARY GADALLA
NPI 1720514763
Internal Medicine in Nashville, TN

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
4220 HARDING PIKE, NASHVILLE, TN 37205(615) 222-6977 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2020, May 11, 2017 (2 updates tracked since 2017).

About Mary Gadalla NPPES

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

MARY GADALLA (NPI 1720514763) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (60892) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of Morehouse School Of Medicine (2017).

NPPES Registry Identity

NPI1720514763
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY GADALLA
Location Address4220 HARDING PIKENashville, TN 37205-2005
Mailing Address300 20th Ave N Ste 403Nashville, TN 37203-5180 · (615) 284-7224
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
NPI 1720514763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 60892
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.

4220 HARDING PIKE, Nashville, TN 37205

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Gadalla 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 ID9537439138
PECOS Enrollment IDI20200722004087
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.

Areas of Expertise CMS Part B claims 4

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
294 services113 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.
182 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
106 services105 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.
70 services70 patients

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$18.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims33 services$75.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$34.70 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.

Pathology (Anatomic Pathology & Clinical Pathology)
4220 HARDING PIKE
NASHVILLE, TN 37205
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4220 HARDING PIKE
NASHVILLE, TN 37205
Hospitalist
4220 HARDING PIKE, SUITE 500
NASHVILLE, TN 37205
Internal Medicine
4220 HARDING PIKE
NASHVILLE, TN 37205
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4220 HARDING PIKE
NASHVILLE, TN 37205
Internal Medicine (Hematology & Oncology)
4220 HARDING PIKE, S&E BUILDING SUITE 200
NASHVILLE, TN 37205
Physician Assistant
4220 HARDING PIKE
NASHVILLE, TN 37205
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4220 HARDING PIKE
NASHVILLE, TN 37205

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 Gadalla's NPI number?

The NPI number for Mary Gadalla is 1720514763. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Mary Gadalla located?

Mary Gadalla practices at 4220 Harding Pike, Nashville, TN 37205. The listed phone number is (615) 222-6977.

What is Mary Gadalla's specialty?

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

Is Mary Gadalla enrolled in Medicare?

Yes. Mary Gadalla 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.

What insurance does Mary Gadalla accept?

Health plans from Oscar Insurance Company list Mary Gadalla 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 Mary Gadalla affiliated with any hospitals?

According to CMS data, Mary Gadalla is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Mary Gadalla was last updated on July 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.