DR. GEORGE B GHANEM (MD) – Cardiovascular Disease Physician, NPI 1104899269

DR. GEORGE B GHANEM (MD) is a healthcare provider. based in St clair shores, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301036503 (MI). The NPI Number for DR. GEORGE B GHANEM (MD) is 1104899269

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE B GHANEM (MD)
NPI
1104899269
Phone
(586) 498-0440
Address
24211 LITTLE MACK AVE
Enumeration Date
9 February 2006
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8104980440
Graduation Year
1974 (52 years ago)
PAC ID
6103714605
Group Practice PAC ID
4688562176
Professional Enrollment ID
I20080909000527
Address ID
MI480801151SA24211AVEX400

Contacts

Secure Messaging
gghanem39828@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,221 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

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Provider Addresses for DR. GEORGE B GHANEM (MD)

  • 24211, Little Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    ST CLAIR SHORES, MI 480801190

    Phone: (586) 498-0440

    Fax: (586) 498-0401

    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 8 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Pinnacle, Inc ($139).

Total Amount

$385

General + Research + Ownership

Payments

8

Total payment records

General Amount

$385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2008-09-09

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
I20080909000527ICardiovascular 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes464214$0
J2785Injection, regadenoson, 0.1 mg432108$0
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose226113$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report137120$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12856$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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Provider's Procedures

DR. GEORGE B GHANEM (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies181180
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1278936
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report5546

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: 4688562176View full group profile
NameSpecialtyState
Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyMI
Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional CardiologyMI
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMI
-MI
Cardiovascular Disease (Cardiology)MI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

What is the registry number for DR. GEORGE B GHANEM (MD)?
The registry entry for DR. GEORGE B GHANEM (MD) shows NPI 1104899269.
Is DR. GEORGE B GHANEM (MD)'s NPI status active today?
Active status means DR. GEORGE B GHANEM (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. GEORGE B GHANEM (MD)?
NPPES ties DR. GEORGE B GHANEM (MD) to Cardiovascular Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GEORGE B GHANEM (MD)?
DR. GEORGE B GHANEM (MD) shows a connection to St Clair Shores, Michigan in registry-derived data.
Why is information missing for DR. GEORGE B GHANEM (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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