DR. ZIAD W GHAMRA M.D.
NPI 1023058732
Internal Medicine - Pulmonary Disease in Sarasota, FL

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
81.11/100
CMS Quality Rating
1921 WALDEMERE ST STE 705, SARASOTA, FL 34239(941) 366-5864(941) 365-4276 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2022, Sep 24, 2019 (2 updates tracked since 2019).

About Dr. Ziad W Ghamra M.d. NPPES

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

DR. ZIAD W GHAMRA M.D. (NPI 1023058732) is an individual pulmonary disease provider in Sarasota, Florida, licensed in Florida (ME105061) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023058732
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ZIAD W GHAMRACredential: M.D.
Location Address1921 WALDEMERE ST STE 705Sarasota, FL 34239-2913
Mailing Address1921 Waldemere St, Ste. 705Sarasota, FL 34239-2943 · (941) 366-5864 · Fax (941) 365-4276
Fax(941) 365-4276
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 8, 2006
Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
NPI 1023058732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME105061
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1921 WALDEMERE ST STE 705, Sarasota, FL 34239

Secondary Practice Locations 3

Location 12600 Laurel Rd ENorth Venice, FL 34275-3226 · Phone (941) 917-9000
Location 21700 S Tamiami TrlSarasota, FL 34239-3555 · Phone (941) 917-9000
Location 3200 Healthcare Way Unit 102North Venice, FL 34275-3670 · Phone (941) 366-5864

Other Identifiers 1

Medicaid001308200FL

Accepted 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

Dr. Ziad W Ghamra 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 ID8123050143
PECOS Enrollment IDI20091006000555
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 22

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
668 services464 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
484 services267 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
374 services263 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
264 services236 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.
178 services175 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
160 services138 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.84
Promoting Interoperability98
Improvement Activities40
Cost50.02

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers45 claims46 services$18.36 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers56 claims186 services$34.81 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers52 claims52 services$34.49 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers20 claims21 services$13.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers25 claims25 services$79.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers25 claims75 services$31.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Physician Assistant (Medical)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Nurse Practitioner (Acute Care)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239
Internal Medicine (Pulmonary Disease)
1921 WALDEMERE ST STE 705
SARASOTA, FL 34239

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 Ziad Ghamra's NPI number?

The NPI number for Ziad Ghamra is 1023058732. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Ziad Ghamra located?

Ziad Ghamra practices at 1921 Waldemere St Ste 705, Sarasota, FL 34239. The listed phone number is (941) 366-5864.

What is Ziad Ghamra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ziad Ghamra enrolled in Medicare?

Yes. Ziad Ghamra 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 Ziad Ghamra accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Ziad Ghamra 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 Ziad Ghamra affiliated with any hospitals?

According to CMS data, Ziad Ghamra is affiliated with Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Ziad Ghamra was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.