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

Wesam Ballouk, MD

Individual provider Nephrology Physician · NPI 1841291762

Wesam Ballouk, MD is an Emergency Medicine in Memphis, Tennessee. Qualified in 1996, 30 years ago. Practices with The Kidney Group of Memphis, PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
30
Licensed in
TN
In the registry since
2005
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

2225 Union Ave Ste 100
Memphis, TN 38104-4316
Phone: (901) 726-1161
Fax: (901) 726-0161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD37027 (TN)

Record details

NPI number1841291762
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address2225 Union Ave, Ste 100, Memphis, TN 38104-4316

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice The Kidney Group Of Memphis, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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