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DR. MOHAMMAD GHALI MD
NPI 1023014610
Pediatrics in Sylvania, OH

Active since June 28, 2005PECOS Enrolled
5700 MONROE STREET, WUITE 301, SYLVANIA, OH 43560(419) 291-2121(419) 479-6017 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, Feb 12, 2021 (2 updates tracked since 2021).

About Dr. Mohammad Ghali Md NPPES

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

DR. MOHAMMAD GHALI MD (NPI 1023014610) is an individual pediatrics provider in Sylvania, Ohio, licensed in Michigan (4301057489) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023014610
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MOHAMMAD GHALICredential: MD
Location Address5700 MONROE STREET, WUITE 301Sylvania, OH 43560-2737
Mailing Address505 N Jackson StJackson, MI 49201-1266 · (517) 748-5500 · Fax (517) 780-9286
Phone(419) 291-2121
Fax(419) 479-6017
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
✔ NPI 1023014610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301057489
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5700 MONROE STREET, Sylvania, OH 43560
Open in Google Maps ↗

Other Identifiers 1

Medicaid3479730-10MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohammad Ghali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mohammad Ghali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Promedica Central Physicians
8.6 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
Center For Family Health
52 mi
Federally Qualified Health Center (FQHC)
2400 4TH ST
Jackson, MI 49203
  • Reassigned Medicare billing, Michigan enrollment
  • 50 clinicians in this Medicare group
NPI 1497825939 (517) 788-6812
Bell Physician Practices Inc
383 mi
Rural Health
901 LAKESHORE DR STE 105
Ishpeming, MI 49849
  • Reassigned Medicare billing, Michigan enrollment
  • 63 clinicians in this Medicare group
NPI 1114726676 (906) 485-2665

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

ANDREW J. ROSKO M.D.
Otolaryngology
5700 MONROE STREET, #310
SYLVANIA, OH 43560
Lucas County (419) 578-7555

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 Mohammad Ghali's NPI number?

The NPI number for Mohammad Ghali is 1023014610. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Mohammad Ghali located?

Mohammad Ghali practices at 5700 Monroe Street Wuite 301, Sylvania, OH 43560. The listed phone number is (419) 291-2121.

What is Mohammad Ghali's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mohammad Ghali enrolled in Medicare?

Yes. Mohammad Ghali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mohammad Ghali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Ghali reassigns Medicare benefits to 3 organizations: Promedica Central Physicians (Toledo, OH), Center For Family Health (Jackson, MI) and Bell Physician Practices Inc (Ishpeming, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohammad Ghali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Ghali accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and MedMutual and 3 other insurers list Mohammad Ghali 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.

When was this NPI record last updated?

The NPPES record for Mohammad Ghali was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.