Active NPI
Mohamad Belal Aldaas
- Infectious Disease Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 55652
- Practice address
- 530 S Jackson St
Louisville, KY 40202-1675 - Phone
- (502) 852-1603
- Fax
- (502) 852-1961
- NPI assigned
- Mar 29, 2019
- Last updated
- Jun 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4351045455 | MI | |
| Infectious Disease Physician | 207RI0200X | 55652 | KY | Primary |
Addresses
Primary practice location
530 S Jackson St
Louisville, KY 40202-1675
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 561-8844
Other practice location 1
1949 12 Mile Rd
Berkley, MI 48072-1868
Phone (248) 551-0615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100739640 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 E Chestnut St
Suite 310
Louisville, KY 40202-5703
Phone (502) 584-8563
550 S Jackson St
Louisville, KY 40202-1622
Phone (502) 561-8848
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Research Foundation, Inc. | Infectious Disease | Current | Accepting new patients |
| University of Louisville Research Foundation Inc | Geriatric Medicine | Current | Accepting new patients |
| University of Louisville Research Foundation, Inc | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686
550 S Jackson St
Fl 2ACB
Louisville, KY 40202
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
dba Campus Health Services
- Internal Medicine Physician
- Louisville, KY
- NPI 1477580942
Geriatric Medicine
-
dba ULP Pediatric Endocrinology
- Pediatric Endocrinology Physician
- Louisville, KY
- NPI 1144586876
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
dba Campus Health Services Office - Health Science Center
- Internal Medicine Physician
- Louisville, KY
- NPI 1720010788
-
dba ULRF WINGS Clinic
- Infectious Disease Physician
- Louisville, KY
- NPI 1386835007
-
dba ULP Urology
- Urology Physician
- Louisville, KY
- NPI 1619242757
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DBA University of Lousiville Hospital
- General Acute Care Hospital
- Louisville, KY
- NPI 1861554438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1992266092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-561-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021675",
"telephone_number": "502-852-1603",
"fax_number": "502-852-1961"
}
],
"practiceLocations": [
{
"address_1": "1949 12 Mile Rd",
"address_purpose": "LOCATION",
"city": "Berkley",
"state": "MI",
"postal_code": "480721868",
"country_code": "US",
"telephone_number": "248-551-0615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALDAAS",
"first_name": "MOHAMAD BELAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2022-06-06",
"certification_date": "2021-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4351045455",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KY",
"license": "55652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100739640",
"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 Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.