Individual provider Active NPI

Marcel Ghanim, MD

  • Gastroenterology Physician
  • Oak Lawn, IL
National Provider Identifier
1407387061
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036.151938 Issued in IL
Practice address
4400 W 95TH St Ste 310
Oak Lawn, IL 60453-2660
Phone
(708) 684-9230
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036.151938 IL Primary

Addresses

Primary practice location

4400 W 95TH St Ste 310
Oak Lawn, IL 60453-2660

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address mghanim407856@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230905000127 IN Practitioner - Gastroenterology 3577822055 Reassigns benefits to 2 organizations
I20240910002357 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 3577822055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4400 W 95TH St
Suite 310
Oak Lawn, IL 60453-2660
Phone (708) 684-9230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as apm
Quality
85.37
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
84.45
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Upper gastrointestinal (GI) endoscopy for acid reflux130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.151938ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Gastroenterology CurrentSince Nov 8, 2023 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
Dalal Medical Corporation Gastroenterology CurrentSince Aug 10, 2023 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Nov 8, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 23, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 23, 2024 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Loyola University Medical Center Current Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

27350 Network Pl
Chicago, IL 60673

9831 S Western Ave
Chicago, IL 60643
Phone (773) 445-3500

29373 Network Pl
Chicago, IL 60673

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

4400 W 95th St
Ste 310
Oak Lawn, IL 60453
Phone (708) 684-9230

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

9410 Calumet Ave
Ste 401
Munster, IN 46321
Phone (219) 922-4900

Interoperability endpoints

  • Direct secure messaging: mghanim407856@direct.myadvocateaurora.org
  • Direct secure messaging: mghanim125841@direct.luhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1407387061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST STE 310",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532660",
            "telephone_number": "708-684-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANIM",
        "first_name": "MARCEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.151938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4400 W 95th St Ste 310",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mghanim407856@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4400 W 95th St Ste 310",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.