Jack George Ghably, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD2017-0386 Issued in NM

Practice address

7001 Signal Ave NE
Albuquerque, NM 87113-2453

Phone

(505) 856-2735

Fax

(505) 856-2749

NPI assigned

Apr 5, 2012

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

University of Texas Medical Branch at Galveston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Allergy Partners, PLLC

  dba Allergy Partners of Albuquerque

  • Allergy & Immunology Physician
  • Albuquerque, NM
  • NPI 1982816591
  Medicare reassignment Care Compare group NPD

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

• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Kaseman Psych Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482
  Care Compare affiliation

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1386900116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 453 PO BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 SIGNAL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132453",
            "telephone_number": "505-856-2735",
            "fax_number": "505-856-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHABLY",
        "first_name": "JACK",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NM",
            "license": "MD2017-0386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "584457AC7E",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82000727",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron J Geswaldo, DO
• Elena Altagracia Gettis
• Sarah Gettler
• Heather Getty
• Alexis Nicole Geuss
• Ghaffari Medical Pharmacy (colonial heritage personal care)
• Ghaffari Medical Pharmacy Inc (Colonial Heritage Personal Care)
• Cyrus Aria Ghaffari, DO
• Sina Ghaffarifar
• Mary Rose Ghammachi Bennett, LPCC PHD

• Allergy & Immunology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Allergy & Immunology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.

Verify at the official NPI Registry.