NPIMap

Michelle J Aboud, MD

Individual provider Active NPI Internal Medicine Physician · Louisville, KY

NPI 1891709515 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1891709515
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
35948 (KY)
Practice address
710 Breckenridge LN
Louisville, KY 40207-4504
Phone
(502) 473-8065
Fax
(502) 473-8066
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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 38

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

View all 38

Medicare Care Compare profile

Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 Breckenridge LN
Suite 202
Louisville, KY 40207-4504
Phone (502) 473-8065

Hospital & facility affiliations

  • Baptist Health Louisville Hospital · Louisville, KY · CCN 180130
  • Baptist Health Lagrange Hospital · La Grange, KY · CCN 180138
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital · Louisville, KY · CCN 180040
  • Norton Hospitals, Inc Hospital · Louisville, KY · CCN 180088

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
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
I20080717000173 KY Practitioner - Internal Medicine 2961575410 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35948KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Aboud Internal Medicine PLLC Internal Medicine Current
since Apr 1, 2010		 Accepting new patients
Baptist Community Health Services Inc Past Accepting new patients

Locations

710 Breckenridge Ln
Ste 202
Louisville, KY 40207
Phone (502) 473-8065

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35948 KY Yes

Addresses

Primary practice location

710 Breckenridge LN
Louisville, KY 40207-4504

Mailing address

710 Breckenridge Lane
Suite 202
Louisville, KY 40207-4748
Phone (024) 735-8065

Other identifiers

IdentifierTypeStateIssuer
000000176586OtherKYANTHEM
64017346MedicaidKY
110212179OtherRR MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891709515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BRECKENRIDGE LANE",
            "address_2": "SUITE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074748",
            "telephone_number": "024-735-8065",
            "fax_number": "502-473-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074504",
            "telephone_number": "502-473-8065",
            "fax_number": "502-473-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUD",
        "first_name": "MICHELLE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000176586",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64017346",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110212179",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

All providers in Louisville, KY · Internal Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.