Individual provider Active NPI

Ghaith Nahlawi, MD

  • Cardiovascular Disease Physician
  • Lafayette, IN
National Provider Identifier
1457380800
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01064491A Issued in IN
Practice address
3900 St Francis Way Ste 200
Lafayette, IN 47905-4940
Phone
(765) 775-2800
Fax
(765) 775-2800
NPI assigned
Jun 30, 2006
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036115207 IL
Cardiovascular Disease Physician 207RC0000X 01064491C IN
Cardiovascular Disease Physician 207RC0000X 01064491A IN Primary
Hospitalist Physician 208M00000X 01064491A IN

Addresses

Primary practice location

3900 St Francis Way Ste 200
Lafayette, IN 47905-4940

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other identifiers 3

IdentifierTypeStateIssuer
200911280MedicaidIN
P01270969OtherINRR MEDICARE
P01307691OtherINMEDICARE RR PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gnahlawi217766@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, KY, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20060828000018 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284638610 Reassigns benefits to 1 organization
I20080915000516 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284638610 Reassigns benefits to 1 organization
I20200106002037 KY Practitioner - Cardiovascular Disease (Cardiology) 4284638610 Reassigns benefits to 1 organization
I20220809003495 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4284638610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

3900 St Francis Way
Suite 200
Lafayette, IN 47905-4923
Phone (765) 463-2399

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01064491CINMDCardiovascular Disease Physician
TP844KYMDPsychiatry Physician
01064491AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jan 27, 2020 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Dec 2, 2019 Accepting new patients
Franciscan Physician Network Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Sunrise Medical Associates Inc Hospitalist CurrentSince Jul 1, 2022 Accepting new patients
Hospitalist Group of Montebello Inc Hospitalist CurrentSince Jul 1, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Dec 2, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine Current Accepting new patients
Franciscan Physician Network CurrentSince Mar 1, 2021 Accepting new patients
Midwest Neoped Associates LTD PastSince Jun 28, 2009 Accepting new patients
Illinois Hospitalists, PC Internal Medicine Past Accepting new patients
Poplar Bluff Hma Physician Management, LLC Cardiovascular Disease Past Accepting new patients
Farmington Physician Services LLC Hospitalist Past Accepting new patients
Hospitalist Medicine Physicians of Sylvania LTD Internal Medicine Past Accepting new patients

Locations

250 E Rincon St
Ste 106
Corona, CA 92879
Phone (951) 339-8459

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

3900 St Francis Way
Ste 200
Lafayette, IN 47905
Phone (765) 775-2800

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gnahlawi217766@direct.franciscanalliance.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1457380800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ST FRANCIS WAY STE 200",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054940",
            "telephone_number": "765-775-2800",
            "fax_number": "765-775-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHLAWI",
        "first_name": "GHAITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036115207",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01064491C",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01064491A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01064491A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200911280",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01270969",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PTAN",
            "identifier": "P01307691",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gnahlawi217766@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3900 St Francis Way Ste 200",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.