MR. GHULAM GHOUS M.D
NPI 1003260787
Internal Medicine - Hematology & Oncology in Columbia, MO

Q: What is Ghulam Ghous's NPI number?

The NPI number for Ghulam Ghous is 1003260787. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Q: What is Ghulam Ghous's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Ghulam Ghous was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment

1 HOSPITAL DR, COLUMBIA, MO 65212(573) 884-9066(573) 884-3037 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2025, Mar 28, 2025, Apr 29, 2024 and 4 more (7 updates tracked since 2017).

On this page

About Mr. Ghulam Ghous M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GHULAM GHOUS M.D (NPI 1003260787) is an individual hematology & oncology provider in Columbia, Missouri, licensed in Missouri (2019024548) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003260787

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameMR. GHULAM GHOUSCredential: M.D

Location Address1 HOSPITAL DRColumbia, MO 65212-1000

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 884-9066

Fax(573) 884-3037

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 19, 2016

Last NPPES UpdateAugust 23, 20227 updates tracked since enumeration

NPPES CertifiedJuly 22, 2022

✔ NPI 1003260787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in MO · 2019024548

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1 HOSPITAL DR, Columbia, MO 65212

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Secondary Practice Locations 3

Location 12213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-2360 · Fax (419) 251-2343

Location 21 Hospital DrColumbia, MO 65212-1000 · Phone (573) 884-9066 · Fax (573) 884-3037

Location 31125 Madison StJefferson City, MO 65101-5227 · Phone (573) 632-5000 · Fax (573) 634-2033

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ghulam Ghous M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810223641

PECOS Enrollment IDI20250605003679

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

139 services55 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services81 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110226

Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$161.24 typical visit price

range $52.28 – $161.24

Typical copayment $40.31 (range $13.07 – $40.31)

Most-billed visit code 99205

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAHUL JAIN M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

1 HOSPITAL DR
COLUMBIA, MO 65212

Boone County (573) 884-2296

RYLEE SHAWN DUCKWORTH M.D.

Emergency Medicine

1 HOSPITAL DR
COLUMBIA, MO 65212

Boone County (573) 884-4400

RYAN DANIEL MONTGOMERY M.D.

Anesthesiology

1 HOSPITAL DR
COLUMBIA, MO 65212

Boone County (573) 882-2568

MS. MORGAN L LEWIS PA

Physician Assistant

1 HOSPITAL DR
COLUMBIA, MO 65212

Boone County (573) 882-8091

ALONA KATZIR MD

Orthopaedic Surgery (Orthopaedic Trauma)

1 HOSPITAL DR
COLUMBIA, MO 65212

Boone County (573) 882-2663

ASHRAF NAYEF MOSLEH ALSAWAREAH MD

Psychiatry & Neurology (Neurology)

1 HOSPITAL DR
COLUMBIA, MO 65212

Boone County (573) 882-5092

DR. OLEKSIY MYKHAYLOVYCH ZYERNOV M.D.

Anesthesiology

1 HOSPITAL DR, DC056.20
COLUMBIA, MO 65212

Boone County (573) 882-2568

OLIVIA LOUISE BOLLES MD

Surgery

1 HOSPITAL DR
COLUMBIA, MO 65212

Boone County (573) 882-4141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ghulam Ghous's NPI number?

The NPI number for Ghulam Ghous is 1003260787. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Ghulam Ghous located?

Ghulam Ghous practices at 1 Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 884-9066.

What is Ghulam Ghous's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ghulam Ghous enrolled in Medicare?

Yes. Ghulam Ghous is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ghulam Ghous accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ghulam Ghous as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ghulam Ghous affiliated with any hospitals?

According to CMS data, Ghulam Ghous is affiliated with Northside Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Ghulam Ghous was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.