GAMAL M. GHONIEM (M.D.) – Urology Physician, NPI 1467415919
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,307 UROLOGY in CA
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Provider Addresses for GAMAL M. GHONIEM (M.D.)
UCI Medical Center, 101, The City Drive South, Orange, Orange County, California, 92868, United States
ORANGE, CA 928683201
Phone: (714) 456-5378
Fax: (714) 456-5062
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $3,978.
Total Amount is formed as General ($3,978) + Research ($0) + Ownership ($0) = $3,978.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Laborie Medical Technologies Corp. ($2,000).
Total Amount
$3,978
General + Research + Ownership
Payments
12
Total payment records
General Amount
$3,978
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Laborie Medical Technologies Corp. | $2,000 |
| Boston Scientific Corporation | $1,474 |
| Axonics, Inc. | $356 |
| COLOPLAST CORP | $148 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110719000015 | I | Urology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 64 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 15 | 14 | $0 |
| 51741 | Electronic assessment of bladder emptying | 12 | 12 | $0 |
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | MN | |
| U R O L O G Y | CA | |
| Physician Assistant | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | FL | |
| U R O L O G Y | CA | |
| U R O L O G Y | MD | |
| Nurse Practitioner | CA | |
| U R O L O G Y | CA |
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