Organization Active NPI

Ghabsha MD PLLC

  • Pulmonary Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1295966141
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301080822 Issued in MI
Legal business name
GHABSHA MD PLLC
Practice address
75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821
Phone
(248) 651-6430
Fax
(248) 650-1382
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmad A Ghabsha, M.D,NPI 1598716680
Title
Owner
Phone
(248) 651-6430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 4301080822 MI Primary

Addresses

Primary practice location

75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821

Mailing address

75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821
Phone (248) 651-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000472 MI Part B Supplier - Clinic/Group Practice 8527113570 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI; Troy, MI; Rochester, MI; Pontiac, MI; Lapeer, MI

National Provider Directory

National Provider Directory

Locations

75 Barclay Cir
Ste 205
Rochester Hills, MI 48307
Phone (248) 651-6430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1295966141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHABSHA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "GHABSHA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-651-6430",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301080822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.