WESAM BALLOUK MD
NPI 1841291762
Internal Medicine - Nephrology in Memphis, TN
About Wesam Ballouk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESAM BALLOUK MD (NPI 1841291762) is an individual nephrology provider in Memphis, Tennessee, licensed in Tennessee (MD37027) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Wesam Ballouk 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.
Medicare Billing Reassignment
Medicare enrollment records show Wesam Ballouk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38104
- Reassigned Medicare billing, Tennessee enrollment
- 5 clinicians in this Medicare group
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 11
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospitals Of Memphis
Acute Care Hospitals · Memphis, TNBaptist Memorial Hospital Tipton
Acute Care Hospitals · Covington, TNSt Francis Hospital
Acute Care Hospitals · Memphis, TNSaint Francis Bartlett Medical Center
Acute Care Hospitals · Bartlett, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wesam Ballouk's NPI number?
The NPI number for Wesam Ballouk is 1841291762. It was assigned to this individual provider in the NPPES registry on August 2, 2005.
Where is Wesam Ballouk located?
Wesam Ballouk practices at 2225 Union Ave Ste 100, Memphis, TN 38104. The listed phone number is (901) 726-1161.
What is Wesam Ballouk's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Wesam Ballouk enrolled in Medicare?
Yes. Wesam Ballouk 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 organization bills Medicare for Wesam Ballouk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wesam Ballouk reassigns Medicare benefits to The Kidney Group Of Memphis, PLLC (Memphis, TN). The 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 Wesam Ballouk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wesam Ballouk accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Wesam Ballouk 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 Wesam Ballouk affiliated with any hospitals?
According to CMS data, Wesam Ballouk is affiliated with Methodist Hospitals Of Memphis, Baptist Memorial Hospital Tipton, St Francis Hospital and Saint Francis Bartlett Medical Center.
When was this NPI record last updated?
The NPPES record for Wesam Ballouk was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Wesam Ballouk, MD · NPI 1841291762
Nephrology physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since August 2, 2005.
## Identity
- **NPI:** 1841291762 (Entity type: Individual)
- **Enumerated:** August 2, 2005
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** MD37027 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2225 UNION AVE, STE 100, Memphis, TN 38104-4316
- **Phone:** (901) 726-1161 · **Fax:** (901) 726-0161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Kidney Group Of Memphis, PLLC (NPI 1467544643, Memphis, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** February 28, 2025
- **Other identifiers:** Medicaid 3326941 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1841291762) · Data from the CMS NPPES public registry.