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Abdel Kareem Mohammad Abu Malouh, MD

Infectious Disease Physician · Louisville, KY

Abdel Kareem Mohammad Abu Malouh is an infectious disease doctor in Louisville, KY. Abdel Kareem Mohammad Abu Malouh has 21 years of experience since medical school. They see patients at Community Medical Associates Inc.

Call the practice to confirm services, availability, insurance, and whether they are accepting new patients.

NPI 1396900387 MD Medicaid claims through Jun 2023 Licensed in 1 state 21 yrs experience PECOS-eligible Source date September 14, 2026
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Registry profile, not an endorsement. NPPES and CMS listing data do not confirm current licensure, board certification, clinical quality, specific services, appointment availability, price, insurance participation, or new-patient status.

Louisville, KY

Sees patients in

Not indicated

Accepts Medicare

18

Years in NPI registry

1

States licensed in

About this doctor

Provider category
Allopathic & Osteopathic Physicians
Primary specialty or taxonomy
Infectious Disease Physician
Public identifier
NPI 1396900387
Credential
MD

Where this specialty sits

  1. Individual
  2. Allopathic & Osteopathic Physicians
  3. Internal Medicine
  4. Infectious Disease
  5. Infectious Disease Physician

Career timeline

18 years in the national
provider registry
  1. 2005

    Graduated medical school

    per the 2023 Medicare file

  2. 2008

    First registered as a provider

Registry gender field: Male

Areas of care they bill for

Critical care

Worked out from the procedure codes on their Medicare and Medicaid claims, most-billed first. A billing code names a procedure, not a diagnosis, so this is the area they work in — not a list of conditions they treat, and not a statement that they take a particular case. Ask the practice.

Degrees, board certification and disciplinary history are not independently verified — see About this data below.

What patients say

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Wait time
Staff & comfort
Value for cost

Medicare services they can order

CMS lists which Medicare fee-for-service claim categories this clinician is currently eligible to order, refer, or certify. This is a regulatory enrollment fact—not a promise that the clinician will order something for you.

  • Part B services

    Eligible in the current CMS file

  • Durable medical equipment

    Eligible in the current CMS file

  • Home health

    Eligible in the current CMS file

  • Power mobility devices

    Eligible in the current CMS file

  • Hospice

    Eligible in the current CMS file

These fields do not establish medical necessity, insurance coverage, network status, willingness to order, or appointment access. Confirm your care pathway and coverage directly.

How this doctor appears in EasySTD

These are candidate pathways derived from specialty and registry identity. They are not service claims.

STD and STI care candidate

CMS specialty and practice data indicate that this clinician may be able to evaluate symptoms or arrange laboratory testing during a visit. The registry does not prove that STD testing is offered, appointments are available, or a referral is unnecessary.

Evidence: identity only · Role: candidate

All registered specialties

NPPES lets a clinician declare up to fifteen NUCC taxonomies. The header above names the primary one; these are all of them, as filed. A taxonomy is what someone registered as, never a service offered or a qualification verified.

  • Infectious Disease Physician 207RI0200X Primary
  • Hospitalist Physician 208M00000X

Licenses

  • IN 01070651A · Hospitalist Physician

Self-reported; check current status with the state board below.

Practice quality

These are scores for the group this clinician bills under, published by CMS. A group score is the group's, not this clinician's.

  • Provide Patients Electronic Access to Their Health Information

    4.0 / 5 stars · 98% performance rate · 254,368 patients · Community Medical Associates Inc · performance year 2023

  • e-Prescribing

    4.0 / 5 stars · 99% performance rate · 761,489 patients · Community Medical Associates Inc · performance year 2023

Medicare quality score (MIPS)

  • 100.0 / 100 · performance year 2023 · scored as group

    Interoperability
    100.0
    Improvement
    40.0

The Merit-based Incentive Payment System adjusts what Medicare pays a clinician based on what they report across quality, cost, interoperability and improvement activities. It is a payment programme, not a clinical quality grade: taking part is optional for many clinicians, the scoring rules reset every year, and small practices and facility-based clinicians are scored on different bases. Do not read it as a ranking, and do not compare one year to another. Source: CMS Provider Data Catalog.

Federal standing

No federal exclusions on record

Not on the federal exclusion list (HHS-OIG LEIE) — no record barring them from Medicare or Medicaid.

Source: HHS-OIG LEIE, file dated July 10, 2026. Matched by exact NPI only.

What infectious disease doctors do, and how to choose one

Also searched as: infectious disease specialist · ID doctor · HIV doctor · travel medicine.

What infectious disease doctors do

An infectious disease physician is an internist with fellowship training in infections: HIV, hepatitis, tuberculosis, sexually transmitted infections, bone and joint infections, complicated or resistant infections, fevers of unknown origin, travel medicine and immunisation, and infection control in hospitals.

How to choose one

Ask the physician's focus (HIV, hepatitis, general ID, travel), whether they offer PrEP and sexual-health services if that is what you need, telehealth, and insurance. Board certification is through ABIM (infectious disease). The directory shows practice locations, affiliations and Medicare participation.

Infectious disease physicians bill Medicare widely; affiliations and groups are well populated. For STI testing and treatment specifically, the STD testing location pages on this site list clinics by place; this directory lists the physicians.

Browse the directory

See more internists in Louisville, KY.

Or browse every specialty in Louisville, KY, which is the page for a search that names no specialty at all.

Also listed under Infectious Disease Doctors in Louisville, KY.

What they treat and do

CMS publishes each clinician's Medicare fee-for-service activity. These are counts from claims, not a self-reported list of interests — and they describe one payer's population in one year, not the whole practice, not a quality score, and not proof that a service is offered today. The allowed amount is what Medicare approved across their billing — an aggregate program figure, not a patient's cost, a quote, or a fee schedule.

Most-billed services, by Medicare patients

  • Hospital follow-up visit 499 patients HCPCS 99232 · 1,274 services · Hospital Inpatient Services · Medicare allows about $81 each
  • Hospital admission visit 199 patients HCPCS 99222 · 210 services · Hospital Inpatient Services · Medicare allows about $173 each
  • Critical care 18 patients HCPCS 99291 · 23 services · Critical Care Services · Medicare allows about $218 each

Medicaid

  • Medicaid claims Jan 2018 – Jun 2023

    5 procedure codes · 11,863 claim lines as the servicing provider, per HHS T-MSIS. See the procedures

  • KY Medicaid enrollment through Apr 2027

    Medicaid · Active at last report · from Feb 2016, per state T-MSIS submissions

  • VA Medicaid enrollment through May 2024

    Chip and Medicaid · Active at last report · from Jun 2017, per state T-MSIS submissions

  • IL Medicaid enrollment through Nov 2019

    Medicaid · Active at last report · from Jul 2012, per state T-MSIS submissions

Claims come from HHS Open Data's Medicaid Provider Spending file, aggregated from state T-MSIS submissions through December 2024; states report with a lag. Enrollment history comes from the T-MSIS provider enrollment segments states submitted for January 2018 through December 2024 — a dated record whose last status may have changed since. Neither is a guarantee they accept new Medicaid patients or your specific managed-care plan — confirm with the office before scheduling.

What they do for Medicaid patients

Procedures this doctor rendered on Medicaid, CHIP, and Medicaid managed-care claims from January 2018 through December 2024, most-billed first. Medicare's public file covers only Medicare patients; this is the rest of the practice.

  • Hospital follow-up visit

    HCPCS 99232 +1 more · 11,361 claim lines · up to 65 patients in a month · Medicaid paid about $32 a line · Jan 2018 – Jun 2023

  • Hospital admission visit

    HCPCS 99223 · 383 claim lines · up to 18 patients in a month · Medicaid paid about $58 a line · May 2018 – May 2023

  • Hospital Inpatient Services

    HCPCS 99254 · 77 claim lines · up to 18 patients in a month · Medicaid paid about $107 a line · Aug 2018 – Aug 2022

  • Office or other evaluation and management visit

    HCPCS 99255 · 42 claim lines · up to 15 patients in a month · Medicaid paid about $132 a line · May 2019 – Jul 2020

From HHS Open Data's Medicaid Provider Spending by HCPCS file, aggregated from state T-MSIS submissions. Claim lines count lines, not visits; a code with no public name shows as its HCPCS code. States report with a lag, so 2024 is likely incomplete. A paid amount is what the state paid per claim line across the whole span, not a price you would be charged. Past Medicaid claims are not a guarantee the clinician accepts Medicaid today — confirm with the office.

Testing available at this practice

A CLIA-certified laboratory is registered at this clinician's address under the same name — testing can be done on site rather than by referral.

From the CMS CLIA laboratory registry, matched by exact address and shared name. A certificate is proof the lab is certified to run tests at its complexity level — not that a particular test is offered, priced, or performed during a given visit. Confirm with the office.

Where they work

The practices and groups this clinician works with — each links to the organization's own page. Call to confirm where they currently see patients.

Practice locations

Where this clinician sees patients, from public records. Call ahead — an address on file is not a promise that every service is offered at every location, or that they are taking new patients there.

  • Practice 1

    Louisville, KY

    234 East Gray Street, Suite. 768, Louisville, KY, 40202

    (502) 394-6470

    Current practice address reported in the monthly NPPES national file. NPI issuance does not validate licensure or credentials; call before visiting.

Other clinicians with a published profile in the same specialty and city, from the same public records.

Common questions

Where does Abdel Kareem Mohammad Abu Malouh practice?
Abdel Kareem Mohammad Abu Malouh practices in Louisville, KY. Call ahead to confirm the current address and hours.
How do I contact Abdel Kareem Mohammad Abu Malouh?
The practice phone on file is (502) 394-6470. Confirm appointment and referral requirements when you call.
Does Abdel Kareem Mohammad Abu Malouh accept Medicare?
The public records do not confirm Medicare assignment for Abdel Kareem Mohammad Abu Malouh. Confirm coverage, insurance, and new-patient status directly with the office.
What does an internist do?
Infectious Disease Physician is the specialty listed for Abdel Kareem Mohammad Abu Malouh in the national provider registry. The specialty describes their field of training; it does not by itself confirm which services they offer today.
Is Abdel Kareem Mohammad Abu Malouh licensed?
The registry lists a license in IN, self-reported to the national provider registry. It is not a check of current standing — that is a state licensing board record.
How do I book an appointment with Abdel Kareem Mohammad Abu Malouh?
Call the practice at (502) 394-6470 to request an appointment. This page is a public-records profile and does not offer online booking.

Insurance and cost

What Medicare pays for an office visit here

First visit as a new patient
$123 · your share about $31 Most-used code 99204
Follow-up visit
$94 · your share about $23 Most-used code 99214

CMS's commonest Medicare amount for internal medicine in ZIP 40202, and the coinsurance a Medicare patient pays after the deductible. It is the Medicare rate for this area and specialty, not a quote from this practice, and it does not apply to commercial insurance or a cash price.

They are enrolled in Medicare (PECOS) and eligible to order and refer. This directory does not hold which commercial or Medicaid plans they accept or whether they are taking new patients. Where a service lists a Medicare-allowed amount, that is the fee schedule Medicare and its patient pay together — not this practice's charge, and not what you would pay with commercial insurance or in cash. Confirm coverage and price with the practice before you go. These public bodies can help you orient:

Verify this doctor & trusted resources

This page reproduces public records; it does not verify licensure, certification, or standing. Confirm those with the primary sources, and use these non-commercial bodies for orientation. EasySTD makes no medical recommendation.

Verify licensure & certification

  • NPI Registry record

    The official CMS registry entry for this NPI — name, taxonomy, and practice address, straight from the source.

  • FSMB DocInfo

    Federation of State Medical Boards: look up a physician's licensure history and any board actions across states.

  • Contact the state medical board (IN)

    Each state's board holds the authoritative licence status and disciplinary record. Confirm the licence directly with the board for the states above.

  • ABMS Certification Matters

    Check whether a physician holds a current American Board of Medical Specialties certification.

  • Medicare Care Compare

    Medicare's official tool for provider information and quality measures.

Trusted patient resources

Sources and limitations

  • CMS National Plan and Provider Enumeration System

    National NPI identity, self-reported taxonomy, registry dates, and primary/secondary practice addresses. CMS states that an NPI does not validate licensure or credentials.

    CMS/NPPES file dated September 14, 2026

  • CMS Group Public Reporting — practice quality, ACO and patient survey

    Scored MIPS measures, accountable care organisation membership and the CAHPS patient survey for the group this clinician bills under. A group score belongs to the group, not to the clinician, and the CAHPS survey is voluntary — most practices publish none.

  • CMS Merit-based Incentive Payment System (MIPS) — PY 2023

    CMS's own score for this clinician under the Medicare Merit-based Incentive Payment System, published per performance year. MIPS adjusts Medicare payment on quality, cost, interoperability and improvement-activity reporting — participation is uneven, the scoring rules reset each year, and facility-based and small-practice clinicians are scored on different bases. It is not a clinical quality grade, not an outcome measure, and not comparable between clinicians or across years.

    CMS/NPPES file dated November 18, 2025

  • CMS Provider of Services — Clinical Laboratories (CLIA)

    A CLIA-certified laboratory registered at this clinician's practice address and under the same entity name, matched on street, ZIP, and a shared name — an on-site testing capability, not a claim that any specific test is offered today.

  • HHS Open Data — Medicaid Provider Enrollment Segments (T-MSIS; KY, VA, IL)

    Which state Medicaid and CHIP programs enrolled this clinician between January 2018 and December 2024, per the enrollment segments states submitted to T-MSIS. A dated history, not a current directory: the status shown is the last segment's, and states report with a lag.

    CMS/NPPES file dated July 24, 2026

  • HHS Open Data — Medicaid Provider Spending by HCPCS (T-MSIS)

    Procedures this clinician rendered as the servicing provider on Medicaid, CHIP, and Medicaid managed-care claims, January 2018 through December 2024, aggregated by HHS from state T-MSIS submissions. Counts are claim lines and patient-months as the states reported them; 2024 is likely incomplete. Medicaid activity in the past is not a promise the clinician accepts Medicaid today.

    CMS/NPPES file dated February 9, 2026

  • CMS Revalidation Reassignment List

    Medicare reassignment and employment records tying this clinician's NPI to a group PAC ID, resolved to an organization NPI through the CMS Public Provider Enrollment file. A tie is an enrollment relationship; it does not prove current employment, that care is delivered at that organization's address, or appointment availability.

    CMS/NPPES file dated July 13, 2026

  • CMS Order and Referring

    Current Medicare fee-for-service ordering and referring eligibility fields from PECOS. Eligibility does not promise that this clinician will order an item or service for a particular patient, or establish coverage, medical necessity, or appointment access.

    CMS/NPPES file dated July 23, 2026

Electronic endpoints

  • Direct Messaging Address — aabumalouh100388@direct.nortonhealthcare.org
  • FHIR URL — https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

How other health systems exchange records with this clinician. Not a way for patients to make contact.

The registry record itself

NPI
1396900387
Registry mailing address
Po Box 776351, Chicago IL 60677
Registry phone
(502) 588-9490
Registry fax
(502) 272-5337
Sole proprietor
No
Primary taxonomy code
207RI0200X
NPI issued
July 19, 2008
Record last updated
November 17, 2021
Provider certified record
November 17, 2021

Compiled by the EasySTD data team from CMS and NPPES public files; records last checked September 14, 2026. We publish the source records as-is and do not add clinical opinion.

A useful call-ahead checklist

  • Does this clinician still practice at this address?
  • Are they accepting new patients, and how soon is the next appointment?
  • Can the visit include the STD or pregnancy test you need?
  • Is a referral required, and what will insurance or self-pay cost?
  • Will testing use an on-site lab, an outside lab, or a separate collection visit?