MOSTAFA GHANIM (MD) – Cardiovascular Disease Physician, NPI 1598118895

MOSTAFA GHANIM (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in INTERVENTIONAL CARDIOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 268508 (MA). The NPI Number for MOSTAFA GHANIM (MD) is 1598118895

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MOSTAFA GHANIM (MD)
NPI
1598118895
Phone
(617) 789-3000
Address
736 Cambridge St
Enumeration Date
21 July 2016
Last Update Date
8 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159422932
Graduation Year
2010 (16 years ago)
PAC ID
9739446675
Group Practice PAC ID
1850372459
Professional Enrollment ID
I20230623001529
Address ID
IL604501463MO150XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

207 INTERVENTIONAL CARDIOLOGY in MA

Provider Addresses for MOSTAFA GHANIM (MD)

  • 736 Cambridge St

    Boston, MA 021352907

    Phone: (617) 789-3000

    Type: Location

  • MercyOne North Iowa Medical Center, 1000, 4th Street Southwest, Mason City, Cerro Gordo County, Iowa, 50401, United States

    MASON CITY, IA 504012800

    Phone: (641) 428-7000

    Type: Location

  • 1703 POLARIS CIR STE 1

    OTTAWA, IL 613501772

    Phone: (815) 705-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $3,324.

Total Amount is formed as General ($3,324) + Research ($0) + Ownership ($0) = $3,324.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Medtronic, Inc. ($2,238).

Total Amount

$3,324

General + Research + Ownership

Payments

45

Total payment records

General Amount

$3,324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230623001529IInterventional CardiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only161152$0
99214Established patient office or other outpatient visit, 30-39 minutes5534$0
99204New patient office or other outpatient visit, 45-59 minutes5252$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4442$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function4444$0
View full utilization report →

Insurance plans in this area (ZIP 02135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850372459View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Pediatric MedicineIL
-IL
Nurse PractitionerIL
Orthopedic SurgeryNY
Nurse PractitionerIL
Family PracticeIL
Allergy/Immunology, Internal MedicineIL

Reviews

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Frequently asked questions

How do I look up MOSTAFA GHANIM (MD) by NPI?
Use NPI 1598118895 when you need to reference MOSTAFA GHANIM (MD) in forms, claims, or directories.
Is MOSTAFA GHANIM (MD) active in the national directory?
MOSTAFA GHANIM (MD)'s public NPI profile is in an active state.
Can you summarize MOSTAFA GHANIM (MD)'s specialty in plain language?
Clinically, the directory lists MOSTAFA GHANIM (MD) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MOSTAFA GHANIM (MD)?
The snapshot lists Boston, Massachusetts for MOSTAFA GHANIM (MD); download NPPES for the complete set.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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