CMS-1500 Box 24J / 33a • NPI
1376596015
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
600 S 3RD ST, GADSDEN, AL, 35901-5304
✓ 9-Digit EDI 837 ZIP+4 (35901-5304)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376596015 (RADWAN MALLAH, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1376596015)
Medicare Beneficiaries
327
Total Billed Services
603
Distinct CPT/HCPCS Codes
16
Medicare Allowed Total
$58,826.59
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 233 |
99284 | Emergency department visit with moderate level of medical decision making | 40 |
99285 | Emergency department visit with high level of medical decision making | 261 |
99291 | Critical care, first 30-74 minutes | 46 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 | 11 |
| Cephalexin Cephalexin | 21 | 21 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 32 | 32 |
| Ketorolac Tromethamine Ketorolac Tromethamine | 18 | 18 |
| Ondansetron Odt Ondansetron | 18 | 18 |
| Prednisone Prednisone | 29 | 29 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376596015 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RADWAN MALLAH, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 600 S 3RD ST, GADSDEN, AL, 35901-5304 |
| Practice Telephone / Fax | Tel: (256) 543-5200 |
| Administrative Mailing Address | PO BOX 11047, DAYTONA BEACH, FL, 32120-1047 |
| Enumeration & Last Sync | Enumerated: 2006-05-17 | CMS Record Updated: 2026-04-14 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207R00000X)
What Does Taxonomy Code 207R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RADWAN MALLAH, MD)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: AL | License: 18098 | Primary: Secondary |
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: AL | License: 18098 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IL | License: 036.168338 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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