MR. NIDAL GANIM – Cardiovascular Disease Physician, NPI 1104244680

MR. NIDAL GANIM is a healthcare provider. based in Houston, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold a License No. Q8059 (TX). The NPI Number for MR. NIDAL GANIM is 1104244680

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. NIDAL GANIM
NPI
1104244680
Phone
(713) 500-6500
Address
6431 FANNIN ST
Enumeration Date
2 April 2014
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2814466656
Graduation Year
2014 (12 years ago)
PAC ID
8729482476
Group Practice PAC ID
5294625042
Professional Enrollment ID
I20210803002752
Address ID
TX773384404HU18450NXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

Provider Addresses for MR. NIDAL GANIM

  • 6431 FANNIN ST

    SUITE MSB 1.134

    HOUSTON, TX 770301501

    Phone: (713) 500-6500

    Fax: (713) 500-6497

    Type: Mailing

  • 2708 Jefferson Dr

    Liberty, TX 775751037

    Phone: (281) 446-6656

    Fax: (281) 446-6657

    Type: Location

  • 800 Peakwood Dr Ste 2E

    Houston, TX 770902913

    Phone: (281) 572-0248

    Fax: (281) 446-6657

    Type: Location

  • 18450 HIGHWAY 59 N

    HUMBLE, TX 773384404

    Phone: (281) 446-6656

    Fax: (281) 446-6657

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $2,868.

Total Amount is formed as General ($2,868) + Research ($0) + Ownership ($0) = $2,868.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Boston Scientific Corporation ($784).

Total Amount

$2,868

General + Research + Ownership

Payments

86

Total payment records

General Amount

$2,868

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2021-08-03

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
I20210803002752ICardiovascular Disease (Cardiology)TXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes358246$0
99214Established patient office or other outpatient visit, 30-39 minutes323205$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report267194$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function248247$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only238215$0
View full utilization report →

Insurance plans in this area (ZIP 77030)

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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: 5294625042View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YTX
Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)KY
Nurse PractitionerTX
Interventional Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)TX
Interventional CardiologyTX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

Where can patients find MR. NIDAL GANIM's NPI?
You can confirm MR. NIDAL GANIM with NPI 1104244680; it appears in the national provider directory.
Is MR. NIDAL GANIM currently active in the NPI registry?
CMS-published data lists MR. NIDAL GANIM as an active registrant.
What kind of provider is MR. NIDAL GANIM?
The page reflects Cardiovascular Disease Physician for MR. NIDAL GANIM. Clinical services aligned with this taxonomy classification.
Does MR. NIDAL GANIM practice in Texas?
You will see Houston, Texas on file for MR. NIDAL GANIM alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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