Mahmoud El Banna, M.D.
NPI 1194036483 · Internal Medicine Physician · Somerset, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mahmoud El Banna, M.D. is a Internal Medicine Physician provider in Somerset, NJ (NPI 1194036483).
Provider details
- NPI number
- 1194036483
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA09261400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
692 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 356 | $139 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 146 | $141 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 108 | $100 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 32 | $182 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 18 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 85 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 392 | 141 |
| Amlodipine Besylate | 268 | 97 |
| Atorvastatin Calcium | 258 | 87 |
| Metformin Hclbrand: Metformin Hcl Er | 201 | 76 |
| Losartan Potassium | 185 | 68 |
| Metoprolol Succinate | 157 | 52 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$47 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-01
- Last updated
- 2014-03-11
Frequently asked questions
- What is Mahmoud El Banna's NPI number?
- Mahmoud El Banna's National Provider Identifier (NPI) is 1194036483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mahmoud El Banna's specialty?
- Mahmoud El Banna is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mahmoud El Banna located?
- Mahmoud El Banna's practice location on file with NPPES is 1323 State Route 27, Somerset, NJ 08873-3457.
- What is Mahmoud El Banna's phone number?
- The practice phone number listed in the NPPES registry for Mahmoud El Banna is (732) 828-0200.
- Does Mahmoud El Banna accept Medicare?
- Mahmoud El Banna is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mahmoud El Banna's NPI active?
- Yes — Mahmoud El Banna's NPI (1194036483) is active in the NPPES registry as of the last update on 2014-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.