BADR KHALIL GHUMRAWI MD NPI 1013081322
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Laguna Niguel, CA

About BADR KHALIL GHUMRAWI MD

Badr Ghumrawi is a provider established in Laguna Niguel, California and his medical specialization is Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI number of Badr Ghumrawi is 1013081322 and was assigned on November 2006. The practitioner's primary taxonomy code is 208G00000X with license number C51860 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1013081322
Provider Name BADR KHALIL GHUMRAWI MD
Location Address43 SAN SIMEON LAGUNA NIGUEL, CA 92677
Location Phone(949) 495-5161
Mailing Address43 SAN SIMEON LAGUNA NIGUEL, CA 92677
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date11-20-2006
Last Update Date03-16-2021

Badr Ghumrawi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code208G00000X
ClassificationThoracic Surgery (Cardiothoracic Vascular Surgery)
TypeAllopathic & Osteopathic Physicians
License No.C51860
License StateCA
Taxonomy DescriptionA thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Aetna
  • Anthem Blue Cross
  • Kaiser Health
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

BADR KHALIL GHUMRAWI MD
43 SAN SIMEON
LAGUNA NIGUEL, CA
ZIP 92677
Phone: (949) 495-5161

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Mailing Address

BADR KHALIL GHUMRAWI MD
43 SAN SIMEON
LAGUNA NIGUEL, CA
ZIP 92677
Phone: (949) 495-5161


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 237Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 234Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 144Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 30Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryC51860CANo

Taxonomy Description: a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
27174OTHER (01)NATIONWIDE
0231538MEDICAID (05)OH
100430OTHER (01)KAISER
4132029OTHER (01)AETNA
71479OTHER (01)QUALCHOICE
000000129043OTHER (01)ANTHEM

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013081322
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 2 + 3 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013081322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is Badr Ghumrawi MD NPI number?

The NPI number assigned to Badr Ghumrawi MD is 1013081322, registered as an "individual" on November 20, 2006

Where is Badr Ghumrawi MD located?

The provider is located at 43 San Simeon Laguna Niguel, Ca 92677 and the phone number is (949) 495-5161

Which is Badr Ghumrawi MD specialty?

The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery)

What insurance does Badr Ghumrawi MD accept?

The provider might be accepting Aetna, Anthem Blue Cross, Kaiser Health, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Badr Ghumrawi MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Badr Ghumrawi MD?

Medicare beneficiaries should expect a typical cost of $194.87 with an average copayment of $48.71 for new patient appointments. Established patients should expect a typical charge of $81.14 and an average copayment of 20.28. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Badr Ghumrawi MD?

The most common procedures or services performed by this practitioner are: Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers and Ultrasound study of arteries and arterial grafts of both legs.

How do I update my NPI information?

The NPI record of Badr Ghumrawi MD was last updated on November 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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