ABDELMESSIAH K GUIRGUIS MD
NPI 1093770745
Internal Medicine in Madison, IN

Q: What is Abdelmessiah Guirguis's NPI number?

The NPI number for Abdelmessiah Guirguis is 1093770745. It was assigned to this individual provider in the NPPES registry on April 18, 2006. The provider is also known as Dr. Michael Guirguis MD.

Q: What is Abdelmessiah Guirguis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment

77.27/100

CMS Quality Rating

1373 E STATE ROAD 62, LEVEL 1, MADISON, IN 47250(812) 801-0826(812) 801-0762 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2025, Jul 23, 2024, May 25, 2022 and 2 more (5 updates tracked since 2018).

On this page

About Abdelmessiah K Guirguis Md NPPES

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

ABDELMESSIAH K GUIRGUIS MD (NPI 1093770745) is an individual internal medicine provider in Madison, Indiana, licensed in Indiana (01065798A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Norton-king's Daughters' Health, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1093770745

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameABDELMESSIAH K GUIRGUISCredential: MD

Location Address1373 E STATE ROAD 62, LEVEL 1Madison, IN 47250-7328

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (812) 801-0828 · Fax (812) 801-0344

Phone(812) 801-0826

Fax(812) 801-0762

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateApril 18, 2006

Last NPPES UpdateOctober 9, 20255 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1093770745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IN · 01065798A✔ Licensed in KY · 38633

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1373 E STATE ROAD 62, Madison, IN 47250

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Other Names 1

Other Name (5)Dr. Michael Guirguis Md

Other Identifiers 2

Medicaid64087984KY

Medicaid200113390IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abdelmessiah K Guirguis 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 ID5597744052

PECOS Enrollment IDI20081022000729

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

Medicare enrollment records show Abdelmessiah Guirguis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Norton - Kings Daughters Health Inc

Same address

Family Medicine

1373 E STATE ROAD 62
Madison, IN 47250

Reassigned Medicare billing, Indiana enrollment
142 clinicians in this Medicare group

NPI 1114955093 (812) 801-0800

Community Medical Associates, Inc.

35 mi

Multi-Specialty

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Indiana enrollment
465 clinicians in this Medicare group

NPI 1073089850 (502) 588-9490

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

Areas of Expertise CMS Part B claims 24

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.

1,042 services373 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

457 services303 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.

421 services246 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

365 services34 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

359 services87 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

165 services21 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

128 services28 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

78 services20 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

64 services62 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

48 services44 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

46 services43 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

40 services40 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

39 services39 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

39 services39 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

34 services34 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

26 services21 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

16 services14 patients

X-ray of entire middle and lower spine, 4-5 views 72083

This procedure involves taking multiple images of your middle and lower spine using X-rays. These X-rays help to visualize the bones and surrounding tissues, aiding in the diagnosis of conditions such as arthritis, fractures, or disc problems. It's a quick and painless process.

16 services15 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

13 services11 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

13 services12 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

13 services12 patients

X-ray series of abdomen with single x-ray of chest 74022

An X-ray series of the abdomen and a single X-ray of the chest are imaging tests. They help doctors view the structures within your abdomen and chest. These tests can detect issues like blockages, infections, or tumors. You'll be positioned carefully, and the machine captures images.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150069

Location1373 East Sr 62Madison, IN 47250 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47250 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

77.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.84

Improvement Activities

Cost

64.87

Referred Medical Equipment & Supplies CMS DME claims 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers76 claims159 services$5.37 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers39 claims47 services$0.98 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers18 claims36 services$1.54 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers36 claims36 services$98.64 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers38 claims97 services$42.47 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers11 claims11 services$74.76 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers31 claims31 services$23.42 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers38 claims38 services$22.03 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers52 claims278 services$2.78 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers23 claims23 services$14.28 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers36 claims36 services$18.24 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims12 services$44.04 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers22 claims22 services$117.35 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier66 claims66 services$14.79 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers26 claims26 services$6.49 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers71 claims71 services$46.61 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers105 claims110 services$111.47 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers54 claims57 services$36.87 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers58 claims5,670 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers21 claims1,260 services$0.73 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers29 claims29 services$178.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers57 claims57 services$23.98 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.

SARA NICOLE THORPE FNP-C

Nurse Practitioner (Family)

1373 E STATE ROAD 62
MADISON, IN 47250

Jefferson County (812) 801-0152

PAUL W CRONEN JR. M.D.

Surgery

1373 E STATE ROAD 62
MADISON, IN 47250

Jefferson County (812) 801-0840

TONYA MARIE FEIDER

Dietitian, Registered

1373 E STATE ROAD 62
MADISON, IN 47250

Jefferson County (812) 801-0800

DAYNE JAMESON OUSLEY

Student in an Organized Health Care Education/Training Program

1373 E STATE ROAD 62
MADISON, IN 47250

Jefferson County (812) 801-0800

STEVEN LEE VORHIES M.D.

Family Medicine

1373 E STATE ROAD 62, LEVEL 2
MADISON, IN 47250

Jefferson County (812) 801-0828

NORTON - KINGS DAUGHTERS HEALTH INC

Family Medicine

1373 E STATE ROAD 62
MADISON, IN 47250

Jefferson County (812) 801-0800

MARK T VIEHMANN MD

Anesthesiology

1373 E STATE ROAD 62
MADISON, IN 47250

Jefferson County (812) 801-0800

ALICIA D MINCHER APRN

Nurse Practitioner (Family)

1373 E STATE ROAD 62
MADISON, IN 47250

Jefferson County (812) 801-0152

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 Abdelmessiah Guirguis's NPI number?

The NPI number for Abdelmessiah Guirguis is 1093770745. It was assigned to this individual provider in the NPPES registry on April 18, 2006. The provider is also known as Dr. Michael Guirguis MD.

Where is Abdelmessiah Guirguis located?

Abdelmessiah Guirguis practices at 1373 E State Road 62 Level 1, Madison, IN 47250. The listed phone number is (812) 801-0826.

What is Abdelmessiah Guirguis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abdelmessiah Guirguis enrolled in Medicare?

Yes. Abdelmessiah Guirguis 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.

Which organizations bill Medicare for Abdelmessiah Guirguis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdelmessiah Guirguis reassigns Medicare benefits to 2 organizations: Norton - Kings Daughters Health Inc (Madison, IN) and Community Medical Associates, Inc. (Louisville, KY). 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 Abdelmessiah Guirguis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdelmessiah Guirguis accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Abdelmessiah Guirguis 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 Abdelmessiah Guirguis affiliated with any hospitals?

According to CMS data, Abdelmessiah Guirguis is affiliated with Norton-King's Daughters' Health.

When was this NPI record last updated?

The NPPES record for Abdelmessiah Guirguis was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.