NABEEL GHABRA MD
NPI 1053374751
Internal Medicine - Nephrology in Bridgeport, WV

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
527 MEDICAL PARK DR STE 402, BRIDGEPORT, WV 26330(681) 342-3690(681) 342-3695 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2022, Jan 9, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Nabeel Ghabra Md NPPES

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

NABEEL GHABRA MD (NPI 1053374751) is an individual nephrology provider in Bridgeport, West Virginia, licensed in West Virginia (16892) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Princeton.

NPPES Registry Identity

NPI1053374751
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNABEEL GHABRACredential: MD
Location Address527 MEDICAL PARK DR STE 402Bridgeport, WV 26330-9010
Mailing Address527 Medical Park Dr Ste 402Bridgeport, WV 26330-9010 · (681) 342-3690 · Fax (681) 342-3695
Fax(681) 342-3695
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateApril 11, 2006
Last NPPES UpdateApril 5, 20224 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
NPI 1053374751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in WV · 16892
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
527 MEDICAL PARK DR STE 402, Bridgeport, WV 26330

Secondary Practice Location 1

Location 1139 Undercliff TerracePrinceton, WV 24740 · Phone (304) 487-0130 · Fax (304) 487-0130

Other Identifiers 1

Medicaid0075244000WV

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

Nabeel Ghabra Md 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 ID9739267071
PECOS Enrollment IDI20080428000000
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 8

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 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.
115 services85 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
106 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services45 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
35 services16 patients
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.
34 services22 patients
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.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Braxton County Memorial Hospital, Inc

Critical Access Hospitals · Gassaway, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511308
Location100 Hoylman DriveGassaway, WV 26624 · Braxton County
Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26330 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Gastroenterology)
527 MEDICAL PARK DR STE 402
BRIDGEPORT, WV 26330
Internal Medicine (Gastroenterology)
527 MEDICAL PARK DR STE 402
BRIDGEPORT, WV 26330
Internal Medicine (Nephrology)
527 MEDICAL PARK DR STE 402
BRIDGEPORT, WV 26330
Nurse Practitioner (Family)
527 MEDICAL PARK DR STE 402
BRIDGEPORT, WV 26330
Nurse Practitioner (Acute Care)
527 MEDICAL PARK DR STE 402
BRIDGEPORT, WV 26330

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 Nabeel Ghabra's NPI number?

The NPI number for Nabeel Ghabra is 1053374751. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Nabeel Ghabra located?

Nabeel Ghabra practices at 527 Medical Park Dr Ste 402, Bridgeport, WV 26330. The listed phone number is (681) 342-3690.

What is Nabeel Ghabra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nabeel Ghabra enrolled in Medicare?

Yes. Nabeel Ghabra 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 Nabeel Ghabra accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Nabeel Ghabra 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 Nabeel Ghabra affiliated with any hospitals?

According to CMS data, Nabeel Ghabra is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Braxton County Memorial Hospital, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Nabeel Ghabra was last updated on April 5, 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.