Ghassan Dalati, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

39041 Issued in KY

Practice address

101 E Brunson St Ste 110
Enterprise, AL 36330-2500

Phone

(334) 348-4278

Fax

(334) 348-8883

NPI assigned

Sep 13, 2006

Last updated

Oct 19, 2020By 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 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Internal Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enterprise Clinic LLCGroup PAC ID 1456488667, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
• Flowers Hospital Hospital, Dothan, AL, CCN 010055
• Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
• Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as apm

Quality

75.95

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ghassan.dalati.1@2445.direct.athenahealth.com

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.

• Enterprise Clinic LLC

  • Family Medicine Physician
  • Enterprise, AL
  • NPI 1639491616
  Medicare reassignment Care Compare group NPD
• Med Tech Imaging Center LLC

  • Radiology Clinic/Center
  • Prattville, AL
  • NPI 1639678550
  NPD
• Express Mobile Diagnostic Services, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Greensburg, PA
  • NPI 1801043922
  NPD
• Eastern Kentucky Cardiology

  • Specialist
  • Ashland, KY
  • NPI 1497788954
  NPD (past)

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

• Geneva County Healthcare Authority, Inc.

  dba Wiregrass Medical Center

  • Critical Access Hospital
  • Geneva, AL
  • NPI 1134955370
  Care Compare affiliation
• Houston County Healthcare Authority

  dba Southeast Alabama Medical Center

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861
  Care Compare affiliation
• QHG of Enterprise Inc

  dba Medical Center Enterprise

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation
• Triad of Alabama LLC

  dba Flowers Hospital

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1801830500
  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1457456881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST STE 110",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302500",
            "telephone_number": "334-348-4278",
            "fax_number": "334-348-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST STE 110",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302500",
            "telephone_number": "334-348-4278",
            "fax_number": "334-348-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1279 Old Abbott Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531889",
            "country_code": "US",
            "telephone_number": "606-886-0892",
            "fax_number": "606-886-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1279 Old Abbott Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531889",
            "country_code": "US",
            "telephone_number": "606-886-0892",
            "fax_number": "606-886-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALATI",
        "first_name": "GHASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "39041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00431665",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000547852",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64098650",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014609",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghassan.dalati.1@2445.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena EMR",
            "address_1": "101 E Brunson St Ste 110",
            "city": "Enterprise",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363302500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cordial Counseling
• Cordial Counseling, LLC
• Jennica Cowen, RBT
• Stephanie Renee Cox, NP-C
• Michelle A Cruz-Weeks, LPC
• Daniel E. Gadzala, M.D.
• Autumn M. Daniel, DPT
• Arianna Marie Daniels
• Chelsea Leigh Dankert
• Samantha Dansby, LPC

• Cardiovascular Disease Physician in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Cardiovascular Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.