Active NPI
Ammar Ghanem, MD
- Pulmonary Disease Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301111042
- Practice address
- 75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821 - Phone
- (260) 416-5892
- Fax
- (260) 416-5897
- NPI assigned
- May 2, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35085090 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 01067395 | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35085090 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01067395 | IN | |
| Pulmonary Disease Physician | 207RP1001X | 35085090 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 4301111042 | MI | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 01067395 | IN |
Addresses
Primary practice location
75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821
Mailing address
75 Barclay Cir Ste 205
Rochester Hills, MI 48307-5821
Phone (248) 651-6430
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000658707 | Other | IN | ANTHEM |
| 200982500 | Medicaid | IN | |
| 7424707 | Other | IN | AETNA |
| 1346790896 | Medicaid | MI | |
| 2626420 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161227001349 | MI | Practitioner - Pulmonary Disease | 9537058193 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1083 Suncrest Dr
Suite B
Lapeer, MI 48446-4421
Phone (810) 667-3111
75 Barclay Cir
Rochester Hills, MI 48307-5821
Phone (248) 651-6430
Hospital & facility affiliations
- McLaren Lapeer Region
- Ascension Providence Rochester Hospital
- McLaren Oakland
- Beaumont Hospital, Troy
- McLaren Flint
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35085090 | OH | MD | Critical Care Medicine (Internal Medicine) Physician |
| 01067395 | IN | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ammar Ghanem MD PLLC | Pulmonary Disease | Current | Accepting new patients |
| JMHC Inc | Past | Accepting new patients | |
| Pulmonary Critical Care Inc | Pulmonary Disease | Past | Accepting new patients |
Locations
1540 Lake Lansing Rd
Ste 205
Lansing, MI 48912
Phone (517) 253-3910
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
1083 Suncrest Dr
Ste B
Lapeer, MI 48446
Phone (810) 245-5390
75 Barclay Cir
Ste 205
Rochester Hills, MI 48307
Phone (248) 651-6430
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Rochester Hills, MI
- NPI 1346790896
MI, Pulmonary Disease
-
- Rural Health Clinic/Center
- Carlisle, KY
- NPI 1093042038
-
- Pulmonary Disease Physician
- Portsmouth, OH
- NPI 1245399344
Pulmonary Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1528026424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 BARCLAY CIR STE 205",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075821",
"telephone_number": "248-651-6430",
"fax_number": "260-416-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BARCLAY CIR STE 205",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075821",
"telephone_number": "260-416-5892",
"fax_number": "260-416-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANEM",
"first_name": "AMMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35085090",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01067395",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35085090",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01067395",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35085090",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301111042",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IN",
"license": "01067395",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000658707",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200982500",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7424707",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346790896",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2626420",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.