Active NPI
Saud A Alkabbaa, MD
- Plastic and Reconstructive Surgery Physician
- Louisville, KY
National Provider Identifier
1982257077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- FT594
- Practice address
- 225 Abraham Flexner Way Ste 850
Louisville, KY 40202-1858 - Phone
- (502) 905-5295
- Fax
- (502) 562-0326
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | FT594 | KY | Primary |
Addresses
Primary practice location
225 Abraham Flexner Way Ste 850
Louisville, KY 40202-1858
Mailing address
225 Abraham Flexner Way Ste 850
Louisville, KY 40202-1858
Phone (502) 905-5295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FT594 | Other | KY | KENTUCKY MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FT594 | KY | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1982257077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 ABRAHAM FLEXNER WAY STE 850",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021858",
"telephone_number": "502-905-5295",
"fax_number": "502-562-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 ABRAHAM FLEXNER WAY STE 850",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021858",
"telephone_number": "502-905-5295",
"fax_number": "502-562-0326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKABBAA",
"first_name": "SAUD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "KY",
"license": "FT594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY MEDICAL BOARD",
"identifier": "FT594",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.