Active NPI
Fadi G Ghanem, M.D.
- Family Medicine Physician
- The Woodlands, TX
National Provider Identifier
1093700932
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jun 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H8071
- Practice address
- 1111 Medical Plaza Dr
Suite 230
The Woodlands, TX 77380-3477 - Phone
- (281) 419-1599
- Fax
- (281) 898-7632
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H8071 | TX | Primary |
| General Practice Physician | 208D00000X | H8071 | TX |
Addresses
Primary practice location
1111 Medical Plaza Dr
Suite 230
The Woodlands, TX 77380-3477
Mailing address
PO Box 7727
The Woodlands, TX 77380-7727
Phone (281) 419-1599
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139600417 | Other | TX | EPSDT |
| 83900X | Other | TX | BCBS OF TX |
| 139600406 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H8071 | TX | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1093700932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7727",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773807727",
"telephone_number": "281-419-1599",
"fax_number": "281-898-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL PLAZA DR",
"address_2": "SUITE 230",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803477",
"telephone_number": "281-419-1599",
"fax_number": "281-898-7632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANEM",
"first_name": "FADI",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H8071",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "H8071",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPSDT",
"identifier": "139600417",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "83900X",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139600406",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.