ABDUL M MEMON MD
NPI 1720193642
Internal Medicine - Critical Care Medicine in Louisville, KY

Q: What is Abdul Memon's NPI number?

The NPI number for Abdul Memon is 1720193642. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Abdul Memon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Abdul Memon was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment

4402 CHURCHMAN AVENUE, SUITE 305, LOUISVILLE, KY 40215(502) 368-9590(502) 368-9616 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Abdul M Memon Md NPPES

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

ABDUL M MEMON MD (NPI 1720193642) is an individual critical care medicine provider in Louisville, Kentucky, licensed in Missouri (R8838) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1720193642

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameABDUL M MEMONCredential: MD

Location Address4402 CHURCHMAN AVENUE, SUITE 305Louisville, KY 40215

Mailing Address4402 Churchman Avenue, Suite 305Louisville, KY 40215 · (502) 368-9590 · Fax (502) 368-9616

Phone(502) 368-9590

Fax(502) 368-9616

Sole ProprietorNo

Medical School CMSOtherGraduated 1972

Enumeration DateAugust 20, 2006

Last NPPES UpdateJanuary 31, 2008

✔ NPI 1720193642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in MO · R8838

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License R8838 (MO), 40505 (KY)

4402 CHURCHMAN AVENUE, Louisville, KY 40215

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Other Identifiers 4

Medicare UPINH91019MO

Other000000511828Anthem

Medicare PIN1338510KY

Other213320EIN · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abdul M Memon 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 ID8426035049

PECOS Enrollment IDI20040701001015

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.

Medicare Billing Reassignments

Medicare enrollment records show Abdul Memon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Springfield Communities

303 mi

Rural Health

518 PINE ST
Steelville, MO 65565

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1245277631 (Missouri)
1,487 clinicians in this Medicare group

NPI 1669504411 (573) 775-5838

Mercy Clinic Joplin LLC

473 mi

Emergency Medicine

3125 DR RUSSELL SMITH WAY
Carthage, MO 64836

Reassigned Medicare billing, Missouri enrollment
562 clinicians in this Medicare group

NPI 1477822567 (417) 358-8121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

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.

83 services39 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.

62 services43 patients

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.

55 services35 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

52 services52 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

52 services52 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

38 services38 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

22 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 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.

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services16 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

13 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260059

Location100 Hospital DriveLebanon, MO 65536 · Laclede County

Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO

OwnershipVoluntary non-profit - Church

CMS Certification Number261316

Location500 Porter AvenueAurora, MO 65605 · Lawrence County

Emergency services Birthing friendly

Mercy St Francis Hospital

Critical Access Hospitals · Mountain View, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261335

Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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.

Other Providers at the Same Location NPPES

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

KENTUCKY ORTHOPEDIC SPECIALISTS PLLC

Orthopaedic Surgery

4402 CHURCHMAN AVENUE, SUITE 406
LOUISVILLE, KY 40215

Jefferson County (502) 367-1744

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 Abdul Memon's NPI number?

The NPI number for Abdul Memon is 1720193642. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Abdul Memon located?

Abdul Memon practices at 4402 Churchman Avenue Suite 305, Louisville, KY 40215. The listed phone number is (502) 368-9590.

What is Abdul Memon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Abdul Memon enrolled in Medicare?

Yes. Abdul Memon 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.

Which organizations bill Medicare for Abdul Memon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Memon reassigns Medicare benefits to 2 organizations: Mercy Clinic Springfield Communities (Steelville, MO) and Mercy Clinic Joplin LLC (Carthage, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdul Memon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdul Memon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Abdul Memon 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 Abdul Memon affiliated with any hospitals?

According to CMS data, Abdul Memon is affiliated with Mercy Hospital Lebanon, Mercy Hospital Springfield, Mercy Hospital Aurora and Mercy St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Abdul Memon was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.