Individual provider Active NPI

Radwan Mallah, MD

  • Internal Medicine Physician
  • Gadsden, AL
National Provider Identifier
1376596015
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.168338 Issued in IL
Practice address
600 S 3Rd St
Gadsden, AL 35901-5304
Phone
(256) 543-5200
NPI assigned
May 17, 2006
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IL, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031219000643 AL Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - 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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professionals of Indiana PCGroup PAC ID 4183604150, 118 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.61 of 100Reported as group
Quality
83.5
Improvement activities
40
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.168338ILMDInternal Medicine Physician

Practice roles

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

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

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

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

Organizations & group practices 22

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

View all 22

Hospital & facility affiliations 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1376596015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11047",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321201047",
            "telephone_number": "386-274-7800",
            "fax_number": "386-274-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015304",
            "telephone_number": "256-543-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832780",
            "country_code": "US",
            "telephone_number": "219-263-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO BOX 635004",
            "address_purpose": "LOCATION",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635004",
            "country_code": "US",
            "telephone_number": "888-952-6772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Pana",
            "state": "IL",
            "postal_code": "625571785",
            "country_code": "US",
            "telephone_number": "217-562-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLAH",
        "first_name": "RADWAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18098",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "18098",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.168338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.