Kenan Tayssir Raddawi, MD in Baltimore, MD

Kenan Tayssir Raddawi, MD is a medicare enrolled "Hospitalist" physician in Baltimore, Maryland. His current practice location is 201 E University Pkwy, Dept Of Medicine, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 554-2284.

Kenan Tayssir Raddawi is licensed to practice in Minnesota (license number 71699) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699235333.

Contact Information

	Kenan Tayssir Raddawi, MD
	201 E University Pkwy, Dept Of Medicine, Baltimore, MD 21218-2829
	(410) 554-2284
	(410) 554-2184

Map and Direction

Physician's Profile

Full Name	Kenan Tayssir Raddawi
Gender	Male
Speciality	Hospitalist
Location	201 E University Pkwy, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699235333
Provider Enumeration Date: 03/20/2019
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5496131385
Enrollment ID: I20220929002556

Medical Identifiers

Medical identifiers for Kenan Tayssir Raddawi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699235333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	71699 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208M00000X	Hospitalist	71699 (Minnesota)	Primary

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. Kenan Tayssir Raddawi allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

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. Kenan Tayssir Raddawi 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 Address	Practice Location Address
Kenan Tayssir Raddawi, MD 1925 Woodwinds Dr Dept Of, Woodbury, MN 55125-4445 Ph: () -	Kenan Tayssir Raddawi, MD 201 E University Pkwy, Dept Of Medicine, Baltimore, MD 21218-2829 Ph: (410) 554-2284

Reviews and Comments

Hospitalist Doctors in Baltimore, MD

Cheryl Myers Hepp, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-2882 Fax: 410-328-7607
Omid Sanaei, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 201 E University Pkwy, Baltimore, MD 21218 Phone: 410-554-2284 Fax: 410-554-2184
Sumedha Nallamothu, M.B.B.S Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Meyer 8-134, Baltimore, MD 21287 Phone: 410-614-4474 Fax: 410-367-2770
Dr. Nejat Ahmed Mohammed, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3001 S Hanover St, Baltimore, MD 21225 Phone: 410-350-3200
Mahyar Toofantabrizi, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9000 Franklin Square Dr, Baltimore, MD 21237 Phone: 443-777-7000
Lee-ann Marie Wagner, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-2882 Fax: 410-328-7607
Adina Cappell, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2200 Kernan Dr, Baltimore, MD 21207 Phone: 410-448-2500

Kenan Tayssir Raddawi, MD - Medicare Hospitalist in Baltimore, MD