DR. ALAA KALLOUB (M.D.) – Orthopaedic Surgery Physician, NPI 1497196554

DR. ALAA KALLOUB (M.D.) is a healthcare provider. based in Bronx, New York. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 01088692A (IN). The NPI Number for DR. ALAA KALLOUB (M.D.) is 1497196554

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALAA KALLOUB (M.D.)
NPI
1497196554
Phone
(718) 618-0401
Address
3198 GRAND CONCOURSE
Enumeration Date
17 July 2013
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5054268010
Graduation Year
2002 (24 years ago)
PAC ID
8729340930
Group Practice PAC ID
1254226079
Professional Enrollment ID
I20250715002264
Address ID
NM877014804LA104XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

2,067 ORTHOPEDIC SURGERY in NY

Provider Addresses for DR. ALAA KALLOUB (M.D.)

  • 3198 GRAND CONCOURSE

    BRONX, NY 104581000

    Phone: (718) 618-0401

    Fax: (347) 479-1303

    Type: Mailing

  • 2015 GRAND CONCOURSE

    BRONX, NY 104534303

    Phone: (718) 299-7295

    Fax: (718) 299-6797

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $9,406.

Total Amount is formed as General ($9,406) + Research ($0) + Ownership ($0) = $9,406.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: MEDACTA USA, INC. ($3,573).

Total Amount

$9,406

General + Research + Ownership

Payments

55

Total payment records

General Amount

$9,406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180328002782IOrthopedic SurgeryNYTBD
I20240622000251IOrthopedic SurgeryINTBD
I20250715002264IOrthopedic SurgeryNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4529$0
20610Aspiration and/or injection of fluid from large joint1912$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 10458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254226079View full group profile
NameSpecialtyState
-VA
-TX
Certified Registered Nurse Anesthetist (Crna)NM
General SurgeryNM
Nurse PractitionerNM
Sleep Medicine, Internal Medicine, Sleep MedicineNV
Cardiovascular Disease (Cardiology)NM
-AZ
Orthopedic SurgeryWA
-OK

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ALAA KALLOUB (M.D.)?
NPI 1497196554 is assigned to DR. ALAA KALLOUB (M.D.) under the national enumeration system.
Is DR. ALAA KALLOUB (M.D.) currently active in the NPI registry?
CMS-published data lists DR. ALAA KALLOUB (M.D.) as an active registrant.
What kind of provider is DR. ALAA KALLOUB (M.D.)?
The page reflects Orthopaedic Surgery Physician for DR. ALAA KALLOUB (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ALAA KALLOUB (M.D.)?
The page summarizes Bronx, New York for DR. ALAA KALLOUB (M.D.); expand the address list for detail.
What if Bronx, New York seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.