RADWAN MALLAH (MD) – Internal Medicine Physician, NPI 1376596015
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for RADWAN MALLAH (MD)
101 E 9th St
Pana, IL 625571785
Phone: (217) 562-2131
Type: Location
PO BOX 635004
CINCINNATI, OH 452635004
Phone: (888) 952-6772
Type: Location
1900 Roosevelt Rd
Valparaiso, IN 463832780
Phone: (219) 263-4900
Type: Location
Riverview Regional Medical Center, 600, South 3rd Street, Gadsden, Etowah County, Alabama, 35901, United States
GADSDEN, AL 359015304
Phone: (256) 543-5200
Type: Location
PO BOX 11047
DAYTONA BEACH, FL 321201047
Phone: (386) 274-7800
Fax: (386) 274-7801
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-03-14 • Largest payer in this snapshot: CSL Behring ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031219000643 | I | Hospitalist | AL | TBD |
| I20240220001638 | I | Internal Medicine | IL | TBD |
| I20241011000471 | I | Emergency Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 525 | 467 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 517 | 457 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 151 | 133 | $0 |
| 99291 | Critical care, first 30-74 minutes | 130 | 124 | $0 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 62557)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IN | |
| Physician Assistant | IN | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | IN | |
| - | MI | |
| Physician Assistant | IN | |
| Emergency Medicine | IN | |
| Emergency Medicine | MI | |
| Emergency Medicine | IN |
Reviews
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