Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alaa Kalloub, MD

Individual provider Orthopaedic Surgery Physician · NPI 1497196554

Dr. Alaa Kalloub, MD is an Orthopedic Surgery in Bronx, New York. Qualified in 2002, 24 years ago. Practices with San Miguel Clinic Corp, a 9-clinician group and accepts Medicare assignment. Licensed in Indiana and New York.

Years since qualifying
24
Licensed in
IN, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 01088692A (IN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 292954 (NY)

Record details

NPI number1497196554
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2013
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice San Miguel Clinic Corp — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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