MOUTAZ AL NABHAN MD
NPI 1205853900
Internal Medicine - Pulmonary Disease in Louisville, KY

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
17.87/100
CMS Quality Rating
1015 DUPONT RD, LOUISVILLE, KY 40207(502) 883-0227(502) 410-0484 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 1, 2017, Jun 20, 2016 (3 updates tracked since 2016).

About Moutaz Al Nabhan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUTAZ AL NABHAN MD (NPI 1205853900) is an individual pulmonary disease provider in Louisville, Kentucky, licensed in Kentucky (42043) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1205853900
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMOUTAZ AL NABHANCredential: MD
Location Address1015 DUPONT RDLouisville, KY 40207-4610
Mailing Address1015 Dupont RdLouisville, KY 40207-4610 · (918) 691-2223 · Fax (502) 410-0484
Fax(502) 410-0484
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1205853900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in KY · 42043
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 42043 (KY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 42043 (KY)
1015 DUPONT RD, Louisville, KY 40207

Other Identifiers 1

Medicaid7100142140KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Moutaz Al Nabhan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022016575
PECOS Enrollment IDI20110707000312
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,214 services437 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
716 services250 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
610 services246 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
568 services283 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
531 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
256 services208 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

17.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost59.58

Referred Medical Equipment & Supplies CMS DME claims 37

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers47 claims47 services$33.63 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier20 claims611 services$0.83 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers39 claims80 services$1.23 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers35 claims35 services$12.62 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
3 suppliers31 claims31 services$1.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers64 claims64 services$69.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Sleep Medicine)
1015 DUPONT RD
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
1015 DUPONT RD
LOUISVILLE, KY 40207
Chiropractor (Neurology)
1015 DUPONT RD
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
1015 DUPONT RD
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
1015 DUPONT RD
LOUISVILLE, KY 40207
Physician Assistant (Medical)
1015 DUPONT RD
LOUISVILLE, KY 40207
Chiropractor
1015 DUPONT RD
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
1015 DUPONT RD
LOUISVILLE, KY 40207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moutaz Al Nabhan's NPI number?

The NPI number for Moutaz Al Nabhan is 1205853900. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Moutaz Al Nabhan located?

Moutaz Al Nabhan practices at 1015 Dupont Rd, Louisville, KY 40207. The listed phone number is (502) 883-0227.

What is Moutaz Al Nabhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Moutaz Al Nabhan enrolled in Medicare?

Yes. Moutaz Al Nabhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Moutaz Al Nabhan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Moutaz Al Nabhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Moutaz Al Nabhan affiliated with any hospitals?

According to CMS data, Moutaz Al Nabhan is affiliated with UofL Health - Shelbyville Hospital, Jewish Hospital & St Mary's Healthcare and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Moutaz Al Nabhan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.