Mahmoud Ballout, MD - Medicare Internal Medicine in Rolla, MO

Mahmoud Ballout, MD is a medicare enrolled "Internal Medicine" physician in Rolla, Missouri. His current practice location is 1000 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 364-9000.

Mahmoud Ballout is licensed to practice in Missouri (license number 2025026526) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891427472.

Contact Information

Mahmoud Ballout, MD
1000 W 10th St,
Rolla, MO 65401-2905
(573) 364-9000
(573) 426-2108

Map and Direction




Physician's Profile

Full NameMahmoud Ballout
GenderMale
SpecialityInternal Medicine
Location1000 W 10th St, Rolla, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891427472
  • Provider Enumeration Date: 06/30/2022
  • Last Update Date: 07/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8325428089
  • Enrollment ID: I20220712001964

Medical Identifiers

Medical identifiers for Mahmoud Ballout such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891427472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 2025026526 (Missouri)Secondary
207R00000XInternal Medicine 2025026526 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mahmoud Ballout is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mahmoud Ballout, MD
1050 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 364-9000
Mahmoud Ballout, MD
1000 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 364-9000

Reviews and Comments


Internal Medicine Doctors in Rolla, MO

Dr. Donald L James, DO
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-7545    Fax: 573-368-3672
Bohdan A Lebedowicz, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-9000    Fax: 573-202-2440
Dr. James J Spadaro Jr., M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-308-1301    Fax: 573-202-2480
Mark Pajeau, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1060 W 10th St, Rolla, MO 65401
Phone: 855-406-3324    Fax: 573-458-8363
John Robertson Carr, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-458-8899    
Dr. Dmitry Familtsev, M.D., PH.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-308-1301    Fax: 573-202-2480
Ethan James Porter, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-364-9000    Fax: 573-426-2108

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.