Ghali Ibrahim Bacha, MD
Individual provider Active NPI Internal Medicine Physician · Charleston, WV
NPI 1366540833 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1366540833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 19464 (WV)
- Practice address
- 400 S Ruffner Rd
Charleston, WV 25314-1542 - Phone
- (304) 720-9595
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
400 S Ruffner Rd
Charleston, WV 25314-1542
Phone (304) 720-9595
Hospital & facility affiliations
- Adoration Home Health
- Centerwell Home Health
- Stonerise Home Health
- Charleston Area Medical Center
- Thomas Memorial Hospital
- Montgomery General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040514000047 | WV | Practitioner - Internal Medicine |
6507856572 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Medical Center, PLLC | Internal Medicine | Current |
Accepting new patients |
| Holistic, Inc | Current |
Accepting new patients | |
| Riverside Medical Group PLLC | Internal Medicine | Past |
Accepting new patients |
| Chesapeake Medical Center | Past | Accepting new patients | |
| Charleston Sleep Center PLLC | Past | Accepting new patients |
Locations
310 35th St SE
Ste 11
Charleston, WV 25304
Phone (304) 720-9595
400 S Ruffner Rd
Charleston, WV 25314
Phone (304) 388-8350
4815 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 202-1910
Interoperability endpoints
- https://api.platform.athenahealth.com/7580/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19464 | WV | Yes |
Addresses
Primary practice location
400 S Ruffner Rd
Charleston, WV 25314-1542
Mailing address
400 S Ruffner Rd
Charleston, WV 25314-1542
Phone (304) 720-9595
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082173000 | Medicaid | WV |
Other names
- Ghali Bacha
Other providers in Charleston, WV
- James Hyder
- Mae A. Hyre
- Michael Patrick Iannetti
- Mary June Ibach
- Yerassyl Ibragim
- Jessica Iczkowski
- Ignacio Z. Bernardo Jr., D.D.S., Inc.
- Rayan Elizabeth Ihle
- Imaginable Nutrition LLC
- Mohammad Imani
All providers in Charleston, WV · Internal Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.