Wisam Al-Mutawalli, MD
NPI 1164005526 · Family Medicine Physician · Camillus, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wisam Al-Mutawalli, MD is a Family Medicine Physician provider in Camillus, NY (NPI 1164005526).
Provider details
- NPI number
- 1164005526
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 332191 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
90 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 35 | $122 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 22 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 17 | $172 |
| Administration of Influenza Virus VaccineG0008 | 16 | $31 |
Typical Medicare-allowed amounts for these services range $16–$172 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 71 | 32 |
| Losartan Potassium | 44 | 17 |
| Gabapentin | 35 | 16 |
| Amlodipine Besylate | 32 | 23 |
| Famotidine | 30 | 12 |
| Lisinopril | 29 | 18 |
| Metformin Hcl | 23 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2024-10-23
- Certified
- 2021-05-04
Frequently asked questions
- What is Wisam Al-Mutawalli's NPI number?
- Wisam Al-Mutawalli's National Provider Identifier (NPI) is 1164005526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wisam Al-Mutawalli's specialty?
- Wisam Al-Mutawalli is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wisam Al-Mutawalli located?
- Wisam Al-Mutawalli's practice location on file with NPPES is 208 Township Blvd, Camillus, NY 13031.
- What is Wisam Al-Mutawalli's phone number?
- The practice phone number listed in the NPPES registry for Wisam Al-Mutawalli is (315) 551-6000.
- Does Wisam Al-Mutawalli accept Medicare?
- Wisam Al-Mutawalli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wisam Al-Mutawalli's NPI active?
- Yes — Wisam Al-Mutawalli's NPI (1164005526) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.