AMMAR GHANEM (MD) – Pulmonary Disease Physician, NPI 1528026424

AMMAR GHANEM (MD) is a healthcare provider. based in Rochester hills, Michigan. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. 35085090 (OH). The NPI Number for AMMAR GHANEM (MD) is 1528026424

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
AMMAR GHANEM (MD)
NPI
1528026424
Phone
(248) 651-6430
Address
75 BARCLAY CIR STE 205
Enumeration Date
2 May 2006
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106673111
Graduation Year
1994 (32 years ago)
PAC ID
9537058193
Professional Enrollment ID
I20161227001349
Address ID
MI484464421LA1083XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness75
Years active:20State licenses:3Digital endpointsOther names

657 PULMONARY DISEASE in MI

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Provider Addresses for AMMAR GHANEM (MD)

  • 205, Barclay Circle, Hampton Village Centre, Rochester Hills, Oakland County, Michigan, 48307, United States

    ROCHESTER HILLS, MI 483075821

    Phone: (248) 651-6430

    Fax: (260) 416-5897

    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 39 Open Payments records for all available years, with a total value of $1,044.

Total Amount is formed as General ($1,044) + Research ($0) + Ownership ($0) = $1,044.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($235).

Total Amount

$1,044

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,044

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2016-12-27

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
I20161227001349IPulmonary DiseaseMITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes960313$0
99291Critical care, first 30-74 minutes312105$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes208187$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3732$0
94729Test to examine how well the lungs exchange gases3636$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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Provider's Procedures

AMMAR GHANEM (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEIN36556Insertion of central venous catheter for infusion, patient 5 years or older2222

Reviews

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Frequently asked questions

How is AMMAR GHANEM (MD) identified in CMS data?
CMS-hosted NPPES data lists AMMAR GHANEM (MD) with NPI 1528026424.
Is AMMAR GHANEM (MD) listed as active for patients and plans?
The listing shows AMMAR GHANEM (MD) as active in the NPI system.
What is AMMAR GHANEM (MD)'s primary classification?
Pulmonary Disease Physician is the headline specialty for AMMAR GHANEM (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect AMMAR GHANEM (MD) on a map?
Expect Rochester Hills, Michigan as a primary anchor for AMMAR GHANEM (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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