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GHASSAN T HAMADY MD
NPI 1104812080
Urology in Hialeah, FL

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
7150 W 20TH AVE, SUITE 406, HIALEAH, FL 33016(305) 820-1050(305) 820-1559 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2016, Mar 25, 2016 (2 updates tracked since 2016).

About Ghassan T Hamady Md NPPES

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

GHASSAN T HAMADY MD (NPI 1104812080) is an individual urology provider in Hialeah, Florida, licensed in Florida (ME0041672) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1983).

NPPES Registry Identity

NPI1104812080
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameGHASSAN T HAMADYCredential: MD
Location Address7150 W 20TH AVE, SUITE 406Hialeah, FL 33016
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.Fort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Phone(305) 820-1050
Fax(305) 820-1559
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1983
Enumeration DateSeptember 26, 2005
Last NPPES UpdateMay 12, 20162 updates tracked since enumeration
✔ NPI 1104812080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME0041672
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
7150 W 20TH AVE, Hialeah, FL 33016
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Other Identifiers 15

Other0075154FL · Ghi
Other4467FL · Dimensions
Other013123FL · Avmed
Other026562FL · Nhp
Other22846FL · Wellcare
Medicare UPIND56980
Other22846FL · Staywell
OtherP511048FL · Optimum
Other4072660FL · Aetna
OtherP01601036FL · Rr Medicare
Other58462FL · Bcbs
Medicaid042153700FL
OtherP01619FL · Freedom
Other2348185FL · Cigna
Medicare PIN58462DFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Ghassan T Hamady 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 ID9133176118
PECOS Enrollment IDI20091117000025
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

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.
30 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
6%478 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
82%123 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
90%2,425 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%504 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%59 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%369 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%816 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 35% · 558 patients
37%558 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%369 patients5/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 409 patients
0%409 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology
7150 W 20TH AVE, SUITE 615
HIALEAH, FL 33016
Miami-Dade County (305) 512-4858
PEDRO G. ALVAREZ, D.O., P.A.
Family Medicine
7150 W 20TH AVE, SUITE 607
HIALEAH, FL 33016
Miami-Dade County (305) 551-8600
DR. JESUS RAMON RODRIGUEZ M.D.
Surgery (Plastic and Reconstructive Surgery)
7150 W 20TH AVE, SUITE 402
HIALEAH, FL 33016
Miami-Dade County (305) 557-3833
ROBERTO D COMPERATORE MDPA
Surgery
7150 W 20TH AVE, SUITE 215
HIALEAH, FL 33016
Miami-Dade County (305) 558-4428
ONCOLOGY AND RADIATION ASSOCIATES, PA
Internal Medicine (Hematology & Oncology)
7150 W 20TH AVE, STE 214
HIALEAH, FL 33016
Miami-Dade County (305) 826-8606
UNIVERSAL MED-CARE CENTER CORP
General Practice
7150 W 20TH AVE, #608
HIALEAH, FL 33016
Miami-Dade County (305) 822-6575
ADVANCED DIALYSIS INSTITUTE, INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
7150 W 20TH AVE, SUITE 109
HIALEAH, FL 33016
Miami-Dade County (305) 827-8399
DR. RODOLFO ALFREDO PEREZ M.D.
Specialist
7150 W 20TH AVE, SUITE# 304
HIALEAH, FL 33016
Miami-Dade County (305) 512-4411

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 Ghassan Hamady's NPI number?

The NPI number for Ghassan Hamady is 1104812080. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Ghassan Hamady located?

Ghassan Hamady practices at 7150 W 20th Ave Suite 406, Hialeah, FL 33016. The listed phone number is (305) 820-1050.

What is Ghassan Hamady's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ghassan Hamady enrolled in Medicare?

Yes. Ghassan Hamady 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 Ghassan Hamady accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Ghassan Hamady 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 Ghassan Hamady was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.