DR. MOHAMMAD GHALI (MD) – Pediatrics Physician, NPI 1023014610
Pediatrics Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MOHAMMAD GHALI (MD)
North Jackson Street, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492011266
Phone: (517) 748-5500
Fax: (517) 780-9286
Type: Mailing
ProMedica Health and Wellness Center, 5700, Monroe Street, Sylvania, Lucas County, Ohio, 43560, United States
WUITE 301
SYLVANIA, OH 435602737
Phone: (419) 291-2121
Fax: (419) 479-6017
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $819.
Total Amount is formed as General ($819) + Research ($0) + Ownership ($0) = $819.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Tris Pharma Inc ($173).
Total Amount
$819
General + Research + Ownership
Payments
39
Total payment records
General Amount
$819
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tris Pharma Inc | $173 |
| Corium, LLC | $143 |
| IRONSHORE PHARMACEUTICALS INC. | $125 |
| Cranial Technologies, Inc | $66 |
| kaleo, Inc. | $62 |
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: 2017-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070714000143 | I | Pediatric Medicine | MI | TBD |
| I20171004003688 | I | Pediatric Medicine | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | OH | |
| - | OH |
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