NPIMap

Individual provider Active NPI

Ghazi Antoun Ghanem, MD

  • Infectious Disease Physician
  • Casper, WY
National Provider Identifier
1669540423
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
7375A Issued in WY
Practice address
1450 E a St
Ste 1
Casper, WY 82601-2239
Phone
(307) 234-8700
Fax
(307) 234-8750
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 7375A WY Primary

Addresses

Primary practice location

1450 E a St
Ste 1
Casper, WY 82601-2239

Mailing address

1450 E a St
Ste 1
Casper, WY 82601-2239
Phone (307) 234-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000430 WY Practitioner - Infectious DiseasePractitioner - Internal Medicine 2163421116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Infectious DiseasesGroup PAC ID 6608862354, 6 clinicians

Practice addresses (Care Compare)

1450 E a St
Suite 1
Casper, WY 82601-2239
Phone 30723487003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.78 of 100Reported as group
Quality
91.26
Improvement activities
40
Cost
77.44

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Infectious Diseases P C Infectious Disease CurrentSince Aug 1, 2006 Accepting new patients

Locations

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

1450 E A St
Ste 12
Casper, WY 82601

1450 E A St
Casper, WY 82601
Phone (307) 235-1503

1450 E A St
Ste 1
Casper, WY 82601
Phone (307) 234-8700

Interoperability endpoints

  • Direct secure messaging: gghanem@yourcarecommunity.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/58a432b4-e1e9-4961-babc-ff3b87eb8606/
  • Direct secure messaging: ghazi.ghanem@direct.wyomingmedicalcenter.org

Organizations & group practices 1

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 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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1669540423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E A ST",
            "address_2": "STE 1",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012239",
            "telephone_number": "307-234-8700",
            "fax_number": "307-234-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E A ST",
            "address_2": "STE 1",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012239",
            "telephone_number": "307-234-8700",
            "fax_number": "307-234-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "GHAZI",
        "middle_name": "ANTOUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WY",
            "license": "7375A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.