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NISREEN MOUSA MADHOUN DO
NPI 1982835286
Surgery in Lansdale, PA

Active since August 04, 2009PECOS EnrolledAccepts Medicare Assignment
125 MEDICAL CAMPUS DR, SUITE 310, LANSDALE, PA 19446(215) 368-1122 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nisreen Mousa Madhoun Do NPPES

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

NISREEN MOUSA MADHOUN DO (NPI 1982835286) is an individual surgery provider in Lansdale, Pennsylvania, licensed in Pennsylvania (OS015659) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1982835286
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameNISREEN MOUSA MADHOUNCredential: DO
Location Address125 MEDICAL CAMPUS DR, SUITE 310Lansdale, PA 19446-7205
Mailing Address125 Medical Campus Dr, Suite 310Lansdale, PA 19446-7205
Phone(215) 368-1122
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2009
Enumeration DateAugust 4, 2009
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1982835286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · OS015659✔ Licensed in TX · P9642✔ Licensed in PA · OT012912
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
125 MEDICAL CAMPUS DR, Lansdale, PA 19446
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nisreen Mousa Madhoun Do 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 ID5294953618
PECOS Enrollment IDI20150611002003
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 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 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.
77 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services48 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.
38 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
29 services24 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
24 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19446 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL ZAKRZEWSKI DO
Internal Medicine (Cardiovascular Disease)
125 MEDICAL CAMPUS DR, SUITE 101
LANSDALE, PA 19446
Montgomery County (215) 361-5020
DR. JAMES A GOODYEAR MD
Surgery
125 MEDICAL CAMPUS DR, SUITE 310
LANSDALE, PA 19446
Montgomery County (215) 368-1122
EMANUEL TROIANI, PSY.D.
Clinic/Center (Adult Mental Health)
125 MEDICAL CAMPUS DR, SUITE 206
LANSDALE, PA 19446
Montgomery County (215) 855-4800
DR. ROBERT V KOLECKI MD
Surgery
125 MEDICAL CAMPUS DR, SUITE 310
LANSDALE, PA 19446
Montgomery County (215) 368-1122
DR. WILLIAM N. BOTHWELL MD
Surgery
125 MEDICAL CAMPUS DR, SUITE 310
LANSDALE, PA 19446
Montgomery County (215) 368-1122
NORTH PENN SURGICAL ASSOCIATES
Surgery
125 MEDICAL CAMPUS DR, SUITE 310
LANSDALE, PA 19446
Montgomery County (215) 368-1122
MR. JAMES V RISPO PA-C
Physician Assistant (Surgical)
125 MEDICAL CAMPUS DR, SUITE 101
LANSDALE, PA 19446
Montgomery County (215) 361-5020
LEE M BLATSTEIN DO
Urology
125 MEDICAL CAMPUS DR, SUITE 305
LANSDALE, PA 19446
Montgomery County (215) 361-2304

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 Nisreen Madhoun's NPI number?

The NPI number for Nisreen Madhoun is 1982835286. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Where is Nisreen Madhoun located?

Nisreen Madhoun practices at 125 Medical Campus Dr Suite 310, Lansdale, PA 19446. The listed phone number is (215) 368-1122.

What is Nisreen Madhoun's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nisreen Madhoun enrolled in Medicare?

Yes. Nisreen Madhoun 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 Nisreen Madhoun accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nisreen Madhoun 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 Nisreen Madhoun affiliated with any hospitals?

According to CMS data, Nisreen Madhoun is affiliated with Lansdale Hospital, Abington Memorial Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Nisreen Madhoun was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.