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

Mahmoud Ballout, MD

Individual provider Hospitalist Physician · NPI 1891427472

Mahmoud Ballout, MD is an Internal Medicine in Rolla, Missouri. Qualified in 2022, 4 years ago. Practices with Pcrmc Medical Group Inc, a 114-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1000 W 10th St
Rolla, MO 65401-2905
Phone: (573) 364-9000
Fax: (573) 426-2108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 — (770) 219-8730
  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2025026526 (MO)
Hospitalist Physician Taxonomy 208M00000X · Licence 2025026526 (MO)

Record details

NPI number1891427472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address1050 W 10th St, Rolla, MO 65401-2905

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pcrmc Medical Group Inc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rolla