DR. MAHMOUD EL BANNA (M.D.) – Internal Medicine Physician, NPI 1194036483
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,893 INTERNAL MEDICINE in NJ
Provider Addresses for DR. MAHMOUD EL BANNA (M.D.)
1323 STATE ROUTE 27
SOMERSET, NJ 088733457
Phone: (732) 828-0200
Fax: (732) 828-0300
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Halozyme Inc ($124).
Total Amount
$171
General + Research + Ownership
Payments
2
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Halozyme Inc | $124 |
| ACUMED LLC | $47 |
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: 2013-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20131119000476 | I | Internal Medicine | NJ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 403 | 218 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 82 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 75 | 75 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 14 | 14 | $0 |
Insurance plans in this area (ZIP 08873)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | NJ | |
| Nurse Practitioner | NJ | |
| Geriatric Medicine, Internal Medicine | NJ | |
| General Surgery | NJ | |
| Internal Medicine | CT | |
| Internal Medicine | NJ | |
| Internal Medicine, Endocrinology | NJ | |
| Nurse Practitioner | NJ | |
| - | PA | |
| Internal Medicine | NJ |
Reviews
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