MR. MUHAMMAD USMAN GHANI M.D.
NPI 1114449261
Internal Medicine in Saginaw, MI

Q: What is Muhammad Usman Ghani's NPI number?

The NPI number for Muhammad Usman Ghani is 1114449261. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Q: What is Muhammad Usman Ghani's specialty?

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

Active since July 11, 2017PECOS EnrolledAccepts Medicare Assignment

85.83/100

CMS Quality Rating

1000 HOUGHTON AVE, SAGINAW, MI 48602(989) 746-7500(989) 746-7727 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2020, Mar 12, 2018, Jul 11, 2017 (3 updates tracked since 2017).

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About Mr. Muhammad Usman Ghani M.d. NPPES

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

MR. MUHAMMAD USMAN GHANI M.D. (NPI 1114449261) is an individual internal medicine provider in Saginaw, Michigan, licensed in Michigan (4301503403) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1114449261

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. MUHAMMAD USMAN GHANICredential: M.D.

Location Address1000 HOUGHTON AVESaginaw, MI 48602-5303

Mailing Address1000 Houghton AveSaginaw, MI 48602-5303 · (989) 746-7500 · Fax (989) 746-7727

Phone(989) 746-7500

Fax(989) 746-7727

Sole ProprietorYes

Medical School CMSOther

Enumeration DateJuly 11, 2017

Last NPPES UpdateNovember 24, 20203 updates tracked since enumeration

NPPES CertifiedNovember 24, 2020

✔ NPI 1114449261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301503403

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 HOUGHTON AVE, Saginaw, MI 48602

Open in Google Maps ↗

Secondary Practice Location 1

Location 1600East 233rd Street, Montefiore Medical CenterBronx, NY 10466 · Phone (718) 920-9892 · Fax (718) 920-9036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Mr. Muhammad Usman Ghani 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 ID3173860954

PECOS Enrollment IDI20201125000225

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 6

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.

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.

173 services83 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

64 services63 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.

46 services33 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.

28 services28 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

27 services26 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230077

Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County

Emergency services

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230222

Location4000 Wellness DriveMidland, MI 48670 · Midland County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48602 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

85.83/100

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

Scored as part of a group practice

Quality

82.73

Promoting Interoperability

Improvement Activities

Cost

64.93

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.

JERRY XAVIER

Internal Medicine

1000 HOUGHTON AVE, 1100 INTERNAL MEDICINE
SAGINAW, MI 48602

Saginaw County (989) 583-5826

MRS. VERONIKA KINASCHUK M.D.

Obstetrics & Gynecology