Active NPI
Ghaith Nahlawi, MD
- Cardiovascular Disease Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01064491A
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200911280 | Medicaid | IN | |
| P01270969 | Other | IN | RR MEDICARE |
| P01307691 | Other | IN | MEDICARE RR PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gnahlawi217766@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, KY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064491C | IN | MD | Cardiovascular Disease Physician |
| TP844 | KY | MD | Psychiatry Physician |
| 01064491A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Franciscan Physician Network | Internal Medicine | Current | Accepting new patients |
| Sunrise Medical Associates Inc | Hospitalist | Current | Accepting new patients |
| Hospitalist Group of Montebello Inc | Hospitalist | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Internal Medicine | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Midwest Neoped Associates LTD | Past | 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
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
Internal Medicine
-
- Hospitalist Physician
- Corona, CA
- NPI 1578959318
-
dba Kings Daughters Medical Specialities Physical Medicine and Rehab
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
Internal Medicine
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Hospitalist Physician
- Corona, CA
- NPI 1568858306
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
dba Kings Daughters Medical Specialties Nephrology
- Nephrology Physician
- Ashland, KY
- NPI 1184912453
-
dba Kings Daughters Medical Specialties Tri State Regional Cancer Center
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Hospitalist Physician
- Farmington, MO
- NPI 1659642825
-
- Internal Medicine Physician
- Sylvania, OH
- NPI 1790813764
-
- Specialist
- Oak Brook, IL
- NPI 1396792180
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
dba Franciscan Healthcare Rensselaer
- Critical Access Hospital
- Rensselaer, IN
- NPI 1932589173
-
- General Acute Care Hospital
- South El Monte, CA
- NPI 1346232881
-
dba Monterey Park Hospital
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.