Wael I Ghanim, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

38144 Issued in KY

Practice address

305 Langdon St
Somerset, KY 42503-2750

Phone

(606) 679-7441

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: waelghanim@arh.medalliesdirect.net
• Direct secure messaging: wael.ghanim.1@19475.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

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.

• Clark Regional Physician Practices LLC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1780356253
  Medicare reassignment NPD
• Kentucky Medical Services Foundation, Inc

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1326091448

  Pediatrics

  Medicare reassignment NPD
• Lake Cumberland Regional Hospital LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1861078685
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  Medicare reassignment
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazard, KY
  • NPI 1780728881
  NPD
• Appalachian Regional Healthcare, Inc.

  • Emergency Medicine Physician
  • Middlesboro, KY
  • NPI 1134204688
  NPD
• Clark Regional Physician Practices, LLC

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
  • NPI 1114282605

  Pediatrics

  NPD
• Lake Cumberland Regional Hospital LLC

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1023155462
  NPD
• Lake Cumberland Regional Hospital LLC

  • Family Nurse Practitioner
  • Somerset, KY
  • NPI 1093092744
  NPD
• Kentucky Hospital, LLC

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1841241668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "606-679-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "606-679-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANIM",
        "first_name": "WAEL",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD446646",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "38144",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "38144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010038227",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4046618",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64072358",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000312935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cadie Elizabeth Gay, DMD
• Melissa Gensel
• Corey Gentry, CPSS
• Christopher Derek George, LBCBA
• Brooke Gerhing, PHARMD
• Mary Gibson
• Nicholas L Gibson, B.A.
• Susan Ballou Gibson, DMD, MSD
• Zachary Gibson, RBT
• Andrea S Gifford, APRN, PMHNP-BC

• Pediatrics Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.