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DR. MAX MAHMOUD GHANNADI M.D.,
NPI 1114191798
General Practice in Van Nuys, CA

Active since April 15, 2008PECOS EnrolledAccepts Medicare Assignment
14103 VICTORY BLVD, SUITE 7, VAN NUYS, CA 91304(818) 994-0000(818) 988-2949 Get Directions Write a Review

NPPES record last updated: October 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Max Mahmoud Ghannadi M.d., NPPES

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

DR. MAX MAHMOUD GHANNADI M.D., (NPI 1114191798) is an individual general practice provider in Van Nuys, California, licensed in California (A102618) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1114191798
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MAX MAHMOUD GHANNADICredential: M.D.,
Location Address14103 VICTORY BLVD, SUITE 7Van Nuys, CA 91304-3863
Mailing Address23679 Calabasas Rd # 327Calabasas, CA 91302-1502 · (818) 887-5515 · Fax (818) 225-9230
Phone(818) 994-0000
Fax(818) 988-2949
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateApril 15, 2008
Last NPPES UpdateOctober 4, 2010
✔ NPI 1114191798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A102618
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
14103 VICTORY BLVD, Van Nuys, CA 91304
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Other Identifiers 1

Medicare PINBX757ACA

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. Max Mahmoud Ghannadi 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 ID8123170248
PECOS Enrollment IDI20090720000535
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 5

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.
135 services93 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.
59 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services18 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Referred Medical Equipment & Supplies CMS DME claims 3

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
21 suppliers78 claims182 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers49 claims68 services$1.04 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
4 suppliers32 claims32 services$177.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Max Ghannadi's NPI number?

The NPI number for Max Ghannadi is 1114191798. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Max Ghannadi located?

Max Ghannadi practices at 14103 Victory Blvd Suite 7, Van Nuys, CA 91304. The listed phone number is (818) 994-0000.

What is Max Ghannadi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Max Ghannadi enrolled in Medicare?

Yes. Max Ghannadi 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.

When was this NPI record last updated?

The NPPES record for Max Ghannadi was last updated on October 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.