DR. ABDALLA M MALLOUK MD
NPI 1558375790
Internal Medicine - Nephrology in Baldwin Park, CA

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
1011 BALDWIN PARK BLVD, KAISER BALDWIN PARK NEPHROLOGY DEPT, BALDWIN PARK, CA 91706(310) 922-8916 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Abdalla M Mallouk Md NPPES

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

DR. ABDALLA M MALLOUK MD (NPI 1558375790) is an individual nephrology provider in Baldwin Park, California, licensed in California (A76945) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1558375790
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ABDALLA M MALLOUKCredential: MD
Location Address1011 BALDWIN PARK BLVD, KAISER BALDWIN PARK NEPHROLOGY DEPTBaldwin Park, CA 91706-5806
Mailing Address1011 Baldwin Park Blvd, Kaiser Baldwin Park Nephrology DeptBaldwin Park, CA 91706-5806 · (310) 922-8916
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 29, 2021
NPI 1558375790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · A76945
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706

Other Identifiers 1

Other00A769450CA · Medical

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

Dr. Abdalla M Mallouk 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 ID5799782439
PECOS Enrollment IDI20061023000279
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91706 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 20

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

Hospitalist
1011 BALDWIN PARK BLVD, 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706
Respiratory Therapist, Registered
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Emergency Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Pediatrics
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Physical Medicine & Rehabilitation
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Physician Assistant
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706

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 Abdalla Mallouk's NPI number?

The NPI number for Abdalla Mallouk is 1558375790. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Abdalla Mallouk located?

Abdalla Mallouk practices at 1011 Baldwin Park Blvd Kaiser Baldwin Park Nephrology Dept, Baldwin Park, CA 91706. The listed phone number is (310) 922-8916.

What is Abdalla Mallouk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Abdalla Mallouk enrolled in Medicare?

Yes. Abdalla Mallouk 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.

When was this NPI record last updated?

The NPPES record for Abdalla Mallouk was last updated on November 29, 2021. 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.