DR. MALIK YA GHANNAM (MD) – Vascular Neurology Physician, NPI 1669995528
Vascular Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
640 NEUROLOGY in MN
Provider Addresses for DR. MALIK YA GHANNAM (MD)
701 15TH AVE SE
MINNEAPOLIS, MN 554144047
Phone:
Type: Mailing
210 Medical Pavilion Dr
Raeford, NC 283769111
Phone: (910) 904-8000
Type: Location
701 W Forevergreen Rd
North Liberty, IA 523179848
Phone: (319) 356-2952
Fax: (319) 356-3949
Type: Location
130 2nd St
Neenah, WI 549562883
Phone: (920) 735-7645
Fax: (920) 735-7618
Type: Location
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (319) 356-2572
Fax: (319) 356-4505
Type: Location
PO BOX 674721
DALLAS, TX 752674721
Phone: (515) 358-0011
Fax: (515) 358-0099
Type: Mailing
3025 EAGANDALE PL APT 234
EAGAN, MN 551211236
Phone: (248) 325-4475
Type: Mailing
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-2580
Type: Location
1111 6TH AVE STE A100
DES MOINES, IA 503142610
Phone: (515) 358-0011
Fax: (515) 358-0099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20230717001729 | I | Neurology | IA | TBD |
| I20250203003254 | I | Neurology | NC | TBD |
| I20250210003029 | I | Neurology | NM | TBD |
| I20250304000000 | I | Neurology | GA | TBD |
| I20250307003278 | I | Neurology | KS | TBD |
| I20250804002240 | I | Neurology | WI | TBD |
| I20260217002030 | I | Neurology | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 62 | 41 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 43 | 27 | $0 |
| 99291 | Critical care, first 30-74 minutes | 43 | 27 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 20 | 20 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 18 | 12 | $0 |
Insurance plans in this area (ZIP 55414)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| H O S P I T A L I S T | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Hospitalist, Internal Medicine | IN | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.