Active NPI
Dany Edward Ghannam, MD
- Critical Care Medicine (Internal Medicine) Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- MD00048902
- Practice address
- 888 Swift Blvd.
Richland, WA 99352 - Phone
- (509) 946-4611
- Fax
- (509) 942-2785
- NPI assigned
- Sep 25, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00048902 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD00048902 | WA | Primary |
Addresses
Primary practice location
888 Swift Blvd.
Richland, WA 99352
Mailing address
550 Gage Blvd
Ste 101
Richland, WA 99352-9532
Phone (509) 946-4611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025904 | Other | WA | L&I KRMC GROUP NUMBER |
| 1114114014 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
Hospital & facility affiliations
- Kadlec Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00048902 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Providence Health & Services - Washington | Internal Medicine | Current | Accepting new patients |
| Kadlec Regional Medical Center | Internal Medicine | Current | Accepting new patients |
Locations
3900 S Zintel Way
Kennewick, WA 99337
Phone (509) 942-3125
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
550 Gage Blvd
Ste 101
Richland, WA 99352
401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731
380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Internal Medicine
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
Internal Medicine
-
- Clinic/Center
- Kennewick, WA
- NPI 1063967933
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
-
- Neurological Surgery Physician
- Walla Walla, WA
- NPI 1760636690
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1114114014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD",
"address_2": "STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-946-4611",
"fax_number": "509-942-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD.",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-946-4611",
"fax_number": "509-942-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANNAM",
"first_name": "DANY",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-25",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00048902",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD00048902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I KRMC GROUP NUMBER",
"identifier": "025904",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114114014",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.