Mouhamad Addas, MD
Individual provider Active NPI Internal Medicine Physician · Louisville, KY
NPI 1609980648 · NPPES record last updated Nov 6, 2009
Key facts
- NPI
- 1609980648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01061288A (IN)
- Practice address
- 5107 Craigs Creek Dr
Louisville, KY 40241-4863 - Phone
- (513) 560-5113
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 27
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Associate Team LLC
Practice addresses (Care Compare)
203 Sparks Ave
Jeffersonville, IN 47130-3732
Phone (812) 283-3844
Hospital & facility affiliations
- Southerncare Indianapolis
- Hosparus Southern Indiana
- Norton Clark Hospital
- Norton Scott Hospital
- Norton-King'S Daughters' Health
- Norton Hospitals, Inc
- Ascension St Vincent Salem
- Clark Rehabilitation and Skilled Nursing Center
- Hillcrest Village
- Kindred Hospital - Louisville
- Norton Scott Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.23 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 74.1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Clark Rehabilitation and Skilled Nursing Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 25, 2024 Mar 23, 2026 |
| Hillcrest Village |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2019 Apr 17, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070201000009 | IN | Practitioner - Internal Medicine | 4284636416 | Reassigns benefits to 1 organization |
| I20090918000349 | KY | Practitioner - Internal Medicine | 4284636416 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39915 | KY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Clark Hospital, LLC | Past | Accepting new patients | |
| Lawrenceburg Urgent Care | Past | Accepting new patients | |
| Fairfield Hospitalists Inc | Internal Medicine | Past | Accepting new patients |
| Kindred Hospitals Limited Partnership | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 39915 | KY | |
| Internal Medicine Physician | 207R00000X | 01061288A | IN | Yes |
Addresses
Primary practice location
5107 Craigs Creek Dr
Louisville, KY 40241-4863
Mailing address
PO Box 22787
Louisville, KY 40252-0787
Phone (513) 560-5113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7663783 | Other | KY | AETNA |
Other providers in Louisville, KY
- Tracy Adams
- William Brodie Adams
- Adaptiv Intravenous Associates LLC
- Adaptive Community Support Services Inc
- Michelle Lee Adcock
- Addiction & Mental Health Services Inc
- Addiction Care Plus, LLC
- Donia Addison
- Justin O Adekoya
- Mary Adelman
All providers in Louisville, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2009. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.