Riad Almudallal, MD
NPI 1245220763 · Gastroenterology Physician · Hagerstown, MD
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riad Almudallal, MD is a Gastroenterology Physician provider in Hagerstown, MD (NPI 1245220763).
Provider details
- NPI number
- 1245220763
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35053410 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
16 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
12 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) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 12 | $81 |
Typical Medicare-allowed amounts for these services range $81–$81 (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.
Practice location
Mailing address
Additional practice locations (15)
- 16403 Old Emmitsburg RdEmmitsburg, MD 21727-8929Phone: (240) 215-6310
- 501 W 7th StFrederick, MD 21701-4586Phone: (240) 215-6310
- 1562 Opossumtown PikeFrederick, MD 21702-4920Phone: (240) 215-6310
- 194 Thomas Johnson DrFrederick, MD 21702-4679Phone: (240) 215-6310
- 75 Thomas Johnson DrFrederick, MD 21702-4895Phone: (240) 215-6310
- 141 Thomas Johnson DrFrederick, MD 21702-4502Phone: (301) 846-0100
- 400 W 7th StFrederick, MD 21701-4506Phone: (240) 215-6310
- 230 W Patrick StFrederick, MD 21701-6945Phone: (240) 215-6310
- 7211 Bank CtFrederick, MD 21703-8483Phone: (240) 215-6310
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Frequently asked questions
- What is Riad Almudallal's NPI number?
- Riad Almudallal's National Provider Identifier (NPI) is 1245220763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Riad Almudallal's specialty?
- Riad Almudallal is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Riad Almudallal located?
- Riad Almudallal's practice location on file with NPPES is 11110 Medical Campus Rd Ste 246, Hagerstown, MD 21742-6756.
- What is Riad Almudallal's phone number?
- The practice phone number listed in the NPPES registry for Riad Almudallal is (301) 665-4585.
- Does Riad Almudallal accept Medicare?
- Riad Almudallal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Riad Almudallal's NPI active?
- Yes — Riad Almudallal's NPI (1245220763) is active in the NPPES registry as of the last update on 2024-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.