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PETER SAMI FADOUL MD
NPI 1922685544
Internal Medicine in Macon, GA

Active since March 28, 2021PECOS EnrolledAccepts Medicare Assignment
380 HOSPITAL DR STE 430, MACON, GA 31217(478) 318-8866 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peter Sami Fadoul Md NPPES

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

PETER SAMI FADOUL MD (NPI 1922685544) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (94988) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Coliseum Medical Centers, Llc, Dba, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922685544
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePETER SAMI FADOULCredential: MD
Location Address380 HOSPITAL DR STE 430Macon, GA 31217-8017
Mailing Address336 Hillridge CvLizella, GA 31052-3633 · (478) 318-8866
Phone(478) 318-8866
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 28, 2021
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1922685544 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 GA · 94988
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
380 HOSPITAL DR STE 430, Macon, GA 31217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Peter Sami Fadoul 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.

PECOS PAC ID3577928118
PECOS Enrollment IDI20230503002249
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 Peter Fadoul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fadoul Medical LLC
0.1 mi
Internal Medicine
350 HOSPITAL DR
Macon, GA 31217
  • Reassigned Medicare billing, Georgia enrollment
NPI 1205713138 (478) 318-8866
Cogent Healthcare Of Georgia PC
4.8 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200
Houston Hospitalist Group LLC
16 mi
Hospitalist
1601 WATSON BLVD
Warner Robins, GA 31093
  • Reassigned Medicare billing, Georgia enrollment
  • 150 clinicians in this Medicare group
NPI 1962040147 (478) 922-4281

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 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.
170 services66 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.
39 services39 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.
26 services25 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.
25 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

DR. SEBASTIAN ALAN MONTGOMERY MD
Internal Medicine
380 HOSPITAL DR STE 430
MACON, GA 31217
Bibb County (478) 751-0480
SARAH AKBANI
Internal Medicine
380 HOSPITAL DR STE 430
MACON, GA 31217
Bibb County (478) 751-0367
CHRISTINE YUNN KING DO
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DR STE 430
MACON, GA 31217
Bibb County (478) 751-0367
FARWA ASIM MD
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DR STE 430
MACON, GA 31217
Bibb County (478) 751-0367
ADEDOYIN OLUSOLA ADEMILUYI MD
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DR STE 430
MACON, GA 31217
Bibb County (478) 751-0367
SCOTT CAMPBELL ROWLAND II MD
Internal Medicine
380 HOSPITAL DR STE 430
MACON, GA 31217
Bibb County (478) 751-0367
AYESHA SARFRAZ CHEEMA MD
Internal Medicine
380 HOSPITAL DR STE 430
MACON, GA 31217
Bibb County (478) 751-0367
DARSHIT PATEL DO
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DR STE 430
MACON, GA 31217
Bibb County (478) 751-0367

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 Peter Fadoul's NPI number?

The NPI number for Peter Fadoul is 1922685544. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Peter Fadoul located?

Peter Fadoul practices at 380 Hospital Dr Ste 430, Macon, GA 31217. The listed phone number is (478) 318-8866.

What is Peter Fadoul's specialty?

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

Is Peter Fadoul enrolled in Medicare?

Yes. Peter Fadoul 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 Peter Fadoul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Fadoul reassigns Medicare benefits to 3 organizations: Fadoul Medical LLC (Macon, GA), Cogent Healthcare Of Georgia PC (Macon, GA) and Houston Hospitalist Group LLC (Warner Robins, GA). 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 Peter Fadoul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Fadoul accept?

Health plans from Alliant Health Plans, Inc. list Peter Fadoul 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 Peter Fadoul affiliated with any hospitals?

According to CMS data, Peter Fadoul is affiliated with Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Peter Fadoul was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.