Talal M Al-Qaoud, MD
Individual provider Active NPI Transplant Surgery Physician · Madison, WI
NPI 1376093716 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1376093716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Transplant Surgery Physician 204F00000X
- License
- 64809-20 (WI)
- Practice address
- 309 W Johnson St
Madison, WI 53703-3471 - Phone
- (000) 000-0000
- NPI assigned
- Oct 10, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000
Hospital & facility affiliations
- Medstar Georgetown University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.97 of 100
- Quality
- 72.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.82
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181017000497 | MD | Practitioner - General Surgery | 3971882580 | Reassigns benefits to 1 organization |
| I20231117002254 | DC | Practitioner - General Surgery |
3971882580 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64809-20 | WI | MD | Transplant Surgery Physician |
| 64809 | WI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| University of Maryland Surgical Associates, PA | Current |
Accepting new patients | |
| Medstar - Georgetown Medical Center, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 64809 | WI | |
| Urology Physician | 208800000X | 64809 | WI | |
| Transplant Surgery Physician | 204F00000X | 64809-20 | WI | Yes |
Addresses
Primary practice location
309 W Johnson St
Madison, WI 53703-3471
Mailing address
309 W Johnson St
Madison, WI 53703-3471
Other providers in Madison, WI
- Serra Leyla Aktan
- Jeanette Akuamoah
- Mohammad Tariq Al Fazal
- Talal Al Hendawi
- David P Al-Adra
- Ibrahim Al-Sanouri
- Awni M Al-Subu
- Haya Al-Taweel
- Ghadeer Alafifi
- Sayee Sundar Alagusundaramoorthy
All providers in Madison, WI · Transplant Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.