Radwan Mallah, MD

Individual provider Active NPI Internal Medicine Physician · Gadsden, AL

NPI 1376596015 · NPPES record last updated Apr 14, 2026

Key facts

NPI
1376596015
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
036.168338 (IL)
Practice address
600 S 3Rd St
Gadsden, AL 35901-5304
Phone
(256) 543-5200
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professionals of Indiana PC (118 clinicians)

Practice addresses (Care Compare)

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-8300

Hospital & facility affiliations

  • Northwest Health - Porter Hospital · Valparaiso, IN · CCN 150035
  • Pana Community Hospital Hospital · Pana, IL · CCN 141341

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100 (apm)
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.61 of 100 (group)
Quality
83.5
Improvement activities
40
Cost
77.51

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in AL, IL, IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031219000643 AL Practitioner - Hospitalist
Practitioner - Internal Medicine
Practitioner - Emergency Medicine
Practitioner - Physical Medicine and Rehabilitation
7214835982 Reassigns benefits to 5 organizations
I20240220001638 IL Practitioner - Internal Medicine 7214835982 Reassigns benefits to 4 organizations
I20241011000471 IN Practitioner - Emergency Medicine 7214835982 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.168338ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pana Community Hospital Association Current
since Jan 22, 2024
Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine Current
since Jan 10, 2013
Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Gibson Community Hospital Association Current
since Feb 2, 2024
Accepting new patients
Cherokee County Physicians, LLC Emergency Medicine Current
since Jan 1, 2019
Accepting new patients
Oak Mountain Group Services, LLC Current Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine Current
since Jan 10, 2013
Accepting new patients
Gibson Community Hospital Association Current
since Feb 2, 2024
Accepting new patients
Pana Community Hospital Association Current
since Jan 22, 2024
Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Current
since Dec 1, 2014
Accepting new patients
Weiss Lake Hospitalists, LLC Current
since Jun 1, 2019
Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine Current Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine Current
since Oct 1, 2024
Accepting new patients
Oak Mountain Group Services, LLC Current
since Nov 19, 2016
Accepting new patients
Complete Family Medicine Past Accepting new patients
Hillsboro Area Hospital, Inc. Past Accepting new patients
Riverview Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Physicians Medical Staffing LLC Emergency Medicine Past Accepting new patients
Complete Family Practice Past Accepting new patients

Locations

1515 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1010 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-3218

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFDCD
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18098 AL
Emergency Medicine Physician 207P00000X 18098 AL
Internal Medicine Physician 207R00000X 036.168338 IL Yes

Addresses

Primary practice location

600 S 3Rd St
Gadsden, AL 35901-5304

Mailing address

PO Box 11047
Daytona Beach, FL 32120-1047
Phone (386) 274-7800

Other practice location 1

1900 Roosevelt Rd
Valparaiso, IN 46383-2780
Phone (219) 263-4900

Other practice location 2

PO Box 635004
Cincinnati, OH 45263-5004
Phone (888) 952-6772

Other practice location 3

101 E 9th St
Pana, IL 62557-1785
Phone (217) 562-2131

Other identifiers

IdentifierTypeStateIssuer
18098OtherALWORKER'S COMP
51555451OtherALBLUE SHIELD
051555451MedicaidAL
009911272MedicaidAL
51542980OtherALBC BS

Other providers in Gadsden, AL

All providers in Gadsden, AL · Internal Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.