Active NPI
Nessreen Ghanem, DO
- Surgery Physician
- Dover, DE
National Provider Identifier
1164168050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C7-0017941
- Practice address
- 724 S New St
Dover, DE 19904-3540 - Phone
- (302) 674-4070
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C7-0017941 | DE | Primary |
Addresses
Primary practice location
724 S New St
Dover, DE 19904-3540
Mailing address
640 South State Street, Mail Code: 3007
Dover, DE 19901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607001052 | DE | Order and Referring Only - General Surgery | 8921486788 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0017941 | DE | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1164168050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 SOUTH STATE STREET, MAIL CODE: 3007",
"city": "DOVER",
"state": "DE",
"postal_code": "19901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 S NEW ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199043540",
"telephone_number": "302-674-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANEM",
"first_name": "NESSREEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C7-0017941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
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- Padideh Ghorbani, MD
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- Mohamad Ayman Ghraowi, MD
- Gi Associates of Delaware PA (Natwarlal V Ramani MD)
- Gi Consultants,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.