Individual provider Active NPI

Ghassan Abuhamad, MD

  • Vascular Surgery Physician
  • Columbia, SC
National Provider Identifier
1972575298
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
87845 Issued in SC
Practice address
3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862
Phone
(803) 434-7100
Fax
(803) 434-6889
NPI assigned
Feb 2, 2006
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD423676 PA
Vascular Surgery Physician 2086S0129X MD423676 PA
Vascular Surgery Physician 2086S0129X 87845 SC Primary

Addresses

Primary practice location

3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-6454

Other practice location 1

30 Monument Road
Suite 1100
York, PA 17403-5024
Phone (717) 851-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050713000169 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 7315973187 Reassigns benefits to 4 organizations
I20220810001011 CA Practitioner - Vascular Surgery 7315973187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Practice addresses (Care Compare)

3551 Q St
Bakersfield, CA 93301-1657
Phone (661) 326-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87845SCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince May 5, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Jan 8, 2018 Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 3, 2022 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 15, 2022 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Dec 31, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 8, 2018 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 15, 2022 Accepting new patients
Susquehanna Physician Services Vascular Surgery CurrentSince May 5, 2022 Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 3, 2022 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262

3551 Q St
Ste 100
Bakersfield, CA 93301
Phone (661) 327-3747

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

740 High St
Ste 3001
Williamsport, PA 17701
Phone (570) 321-2805

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 190
York, PA 17403
Phone (717) 741-8011

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Organizations & group practices 12

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 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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1972575298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR STE 330",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036862",
            "telephone_number": "803-434-7100",
            "fax_number": "803-434-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Monument Road",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035024",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABUHAMAD",
        "first_name": "GHASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD423676",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD423676",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "87845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.