NPIMap

Individual provider Active NPI

Ghali Ibrahim Bacha, MD

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1366540833
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19464 Issued in WV
Practice address
400 S Ruffner Rd
Charleston, WV 25314-1542
Phone
(304) 720-9595
NPI assigned
Sep 20, 2006
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19464 WV Primary

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 names 1

  • Ghali Bacha Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000047 WV Practitioner - Internal MedicinePractitioner - General Practice 6507856572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19464WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Medical Center, PLLC Internal Medicine CurrentSince Apr 1, 2004 Accepting new patients
Holistic, Inc CurrentSince Mar 1, 2018 Accepting new patients
Charleston Sleep Center PLLC Past Accepting new patients
Chesapeake Medical Center Past Accepting new patients
Riverside Medical Group PLLC Internal Medicine PastSince Oct 1, 1998 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

  • FHIR API: https://api.platform.athenahealth.com/7580/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1366540833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S RUFFNER RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141542",
            "telephone_number": "304-720-9595",
            "fax_number": "304-720-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S RUFFNER RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141542",
            "telephone_number": "304-720-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM BACHA",
        "first_name": "GHALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHALI",
            "last_name": "BACHA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.