AMRE ASAD GHAZZAL (MD) – Cardiovascular Disease Physician, NPI 1073019956

AMRE ASAD GHAZZAL (MD) is a healthcare provider. based in Jackson, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 4301513467 (MI). The NPI Number for AMRE ASAD GHAZZAL (MD) is 1073019956

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
AMRE ASAD GHAZZAL (MD)
NPI
1073019956
Phone
(151) 778-7357
Address
205 PAGE AVE
Enumeration Date
1 April 2018
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5177873577
Graduation Year
2016 (10 years ago)
PAC ID
7618316506
Group Practice PAC ID
0042545535
Professional Enrollment ID
I20250507002278
Address ID
MI492012462JA205XXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for AMRE ASAD GHAZZAL (MD)

  • 205 PAGE AVE

    JACKSON, MI 492012462

    Phone: (151) 778-7357

    Type: Mailing

  • 110 IRVING ST NW DEPT OF

    WASHINGTON, DC 200103017

    Phone: (202) 877-8278

    Fax: (202) 877-6292

    Type: Mailing

  • 4300 Alton Rd

    Miami, FL 331402948

    Phone: (305) 535-7901

    Fax: (305) 674-2787

    Type: Location

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (313) 874-4806

    Type: Mailing

  • 4300 ALTON RD

    MIAMI, FL 331402948

    Phone: (305) 535-7901

    Fax: (305) 674-2787

    Type: Mailing

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 $582.

Total Amount is formed as General ($582) + Research ($0) + Ownership ($0) = $582.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABIOMED ($284).

Total Amount

$582

General + Research + Ownership

Payments

12

Total payment records

General Amount

$582

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-05-07

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
I20250507002278ICardiovascular Disease (Cardiology)MITBD

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.

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

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: 0042545535View full group profile
NameSpecialtyState
Interventional Cardiology, Internal MedicineMI
Endocrinology, Internal MedicineMI
Cardiovascular Disease (Cardiology), Interventional CardiologyMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology), Internal MedicineLA

Reviews

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Frequently asked questions

What identifier follows AMRE ASAD GHAZZAL (MD) across health systems?
The NPI 1073019956 uniquely identifies AMRE ASAD GHAZZAL (MD) in U.S. healthcare data.
Quick check: is AMRE ASAD GHAZZAL (MD) active?
Public NPPES data shows AMRE ASAD GHAZZAL (MD) with an active NPI status right now.
What services align with AMRE ASAD GHAZZAL (MD)'s listing?
AMRE ASAD GHAZZAL (MD)'s public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to AMRE ASAD GHAZZAL (MD)?
The directory associates AMRE ASAD GHAZZAL (MD) with Jackson, Michigan. Check all listed addresses for suites or satellite offices.
Can I export AMRE ASAD GHAZZAL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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