Dr Mahmoud El Banna, MD - Medicare Internal Medicine in Somerset, NJ

Dr Mahmoud El Banna, MD is a medicare enrolled "Internal Medicine" physician in Somerset, New Jersey. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Saint Peter's Healthcare System Physician Associates, Saint Peters University Hospital and his current practice location is 1323 State Route 27, Somerset, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 828-0200.

Dr Mahmoud El Banna is licensed to practice in New Jersey (license number 25MA09261400) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194036483.

Contact Information

Dr Mahmoud El Banna, MD
1323 State Route 27,
Somerset, NJ 08873-3457
(732) 828-0200
(732) 828-0300

Map and Direction




Physician's Profile

Full NameDr Mahmoud El Banna
GenderMale
SpecialityInternal Medicine
Experience14 Years
Location1323 State Route 27, Somerset, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mahmoud El Banna graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1194036483
  • Provider Enumeration Date: 07/01/2010
  • Last Update Date: 03/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1850527003
  • Enrollment ID: I20131119000476

Medical Identifiers

Medical identifiers for Dr Mahmoud El Banna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194036483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA09261400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Robert Wood Johnson Visiting Nurses, IncNorth brunswick, NJHome health agency
Saint Peter's University HospitalNew brunswick, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Peter's Healthcare System Physician Associates953733725841
Saint Peters University Hospital9931012382117

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mahmoud El Banna allows following entities to bill medicare on his behalf.
Entity NameSaint Peters University Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114924834
PECOS PAC ID: 9931012382
Enrollment ID: O20040112000043
Entity NameSaint Peter's Healthcare System Physician Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548569361
PECOS PAC ID: 9537337258
Enrollment ID: O20110725000726

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mahmoud El Banna is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mahmoud El Banna, MD
1323 State Route 27,
Somerset, NJ 08873-3457

Ph: (732) 828-0200
Dr Mahmoud El Banna, MD
1323 State Route 27,
Somerset, NJ 08873-3457

Ph: (732) 828-0200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.