NPIMap

Individual provider Active NPI

Mohamad Ayman Ghraowi, MD

  • Medical Oncology Physician
  • Dover, DE
National Provider Identifier
1942201439
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
C1-0025012 Issued in DE
Practice address
640 S State St FL 1
Dover, DE 19901-3530
Phone
(302) 744-7994
Fax
(302) 744-7993
NPI assigned
Aug 9, 2005
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X C1-0025012 DE
Hematology & Oncology Physician 207RH0003X M-2426 GU
Hematology & Oncology Physician 207RH0003X J6958 TX
Medical Oncology Physician 207RX0202X C1-0025012 DE Primary

Addresses

Primary practice location

640 S State St FL 1
Dover, DE 19901-3530

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2171

Other practice location 1

14120 Northwest Blvd
Corpus Christi, TX 78410-5121
Phone (361) 241-2626

Other practice location 2

2717 Michaelangelo Dr
Edinburg, TX 78539-1408
Phone (956) 362-2188

Other identifiers 1

IdentifierTypeStateIssuer
116131704MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GU2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091214000436 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1456255751 Reassigns benefits to 2 organizations
I20240520000157 GU Practitioner - Hematology/Oncology 1456255751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-2800

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jan 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Guam Healthcare Development Incorporated CurrentSince May 15, 2024 Accepting new patients
M Ayman Ghraowi, MD PA Current Accepting new patients
C H Wilkinson Physician Network CurrentSince Jun 27, 2014 Accepting new patients
South Texas Comprehensive Cancer Centers PLLC Hematology & Oncology CurrentSince Feb 26, 1997 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jun 27, 2014 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Medical Oncology CurrentSince Jan 1, 2025 Accepting new patients
Hematology & Medical Oncology Care, PA Hematology & Oncology Past Accepting new patients
Bayhealth Medical Center, Inc PastSince Jul 17, 2022 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

2520 E Main St
Ste 200
Alice, TX 78332
Phone (361) 453-4117

1663 W Wheeler Ave
Ste B
Aransas Pass, TX 78336
Phone (361) 248-7938

14120 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-2626

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1942201439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-2171",
            "fax_number": "956-362-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST FL 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7994",
            "fax_number": "302-744-7993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14120 Northwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784105121",
            "country_code": "US",
            "telephone_number": "361-241-2626",
            "fax_number": "361-904-0178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2717 Michaelangelo Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391408",
            "country_code": "US",
            "telephone_number": "956-362-2188",
            "fax_number": "956-217-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHRAOWI",
        "first_name": "MOHAMAD",
        "middle_name": "AYMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "DE",
            "license": "C1-0025012",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GU",
            "license": "M-2426",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "J6958",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "DE",
            "license": "C1-0025012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116131704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.