KHALID Z GHOSHEH M.D.
NPI 1164452959
Internal Medicine - Hematology & Oncology in Louisville, KY

Q: What is Khalid Ghosheh's NPI number?

The NPI number for Khalid Ghosheh is 1164452959. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Khalid Ghosheh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Khalid Ghosheh was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

4003 KRESGE WAY, SUITE 500, LOUISVILLE, KY 40207(502) 897-1166(502) 897-1461 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2020, Jan 15, 2016 (2 updates tracked since 2016).

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About Khalid Z Ghosheh M.d. NPPES

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

KHALID Z GHOSHEH M.D. (NPI 1164452959) is an individual hematology & oncology provider in Louisville, Kentucky, licensed in Kentucky (40813) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1164452959

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameKHALID Z GHOSHEHCredential: M.D.

Location Address4003 KRESGE WAY, SUITE 500Louisville, KY 40207-5603

Mailing Address2700 Stanley Gault Pkwy, Ste 129Louisville, KY 40223-5176 · (502) 253-4917 · Fax (502) 489-5751

Phone(502) 897-1166

Fax(502) 897-1461

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJuly 4, 2006

Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1164452959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in KY · 40813✔ Licensed in MI · KG070022

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4003 KRESGE WAY, Louisville, KY 40207

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Other Identifiers 12

Other000000652544KY · Anthem

Other0G31085MI · Blue Cross Blue Shield

Other1011761MI · Mclaren Health Plan

Other0998652MI · Health Plus

Other50027665KY · Passport

Other7293569MI · Aetna

Other3770662000KY · Passport Advantage

Medicaid7100018150KY

Other0G31085MI · Blue Care Network

Other145830MI · Great Lakes Health Plan

Medicaid4613430MI

Other383553403051MI · Community Choice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Khalid Z Ghosheh 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 ID7911977020

PECOS Enrollment IDI20070627000283

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 11

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.

568 services331 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.

207 services99 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.

198 services86 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 services52 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.

31 services29 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

28 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 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.

20 services16 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.

17 services17 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.

15 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150044

Location1850 State StNew Albany, IN 47150 · Floyd County

Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180138

Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

DR. SALEM MICHAEL GEORGE JR. MD

Surgery (Vascular Surgery)

4003 KRESGE WAY, SUITE 300
LOUISVILLE, KY 40207

Jefferson County (502) 897-5139

DR. MARK EDWIN ESTERLE M.D.

Internal Medicine (Pulmonary Disease)

4003 KRESGE WAY, SUITE 312
LOUISVILLE, KY 40207

Jefferson County (502) 899-7377

CORTLANDT AUSER NORRIS APRN, FNP-C

Nurse Practitioner (Family)

4003 KRESGE WAY
LOUISVILLE, KY 40207

Jefferson County (502) 897-5139

MR. STANLEY S. CHMIEL M.D.

Otolaryngology

4003 KRESGE WAY, STE 227
LOUISVILLE, KY 40207

Jefferson County (502) 893-3342

MRS. TRACEY GREGORY MAYNOR PAC

Physician Assistant

4003 KRESGE WAY, #221
LOUISVILLE, KY 40207

Jefferson County (502) 897-7107

CAROLE C. SCHARF M.D.

Radiology (Radiation Oncology)

4003 KRESGE WAY, SUITE 115
LOUISVILLE, KY 40207

Jefferson County (502) 897-8163

ADRIAN J PELLEGRINI M.D.

Psychiatry & Neurology (Psychiatry)

4003 KRESGE WAY, STE 224
LOUISVILLE, KY 40207

Jefferson County (502) 899-9980

ANNA LAURA TRIMBUR ARNP

Nurse Practitioner (Family)

4003 KRESGE WAY, STE 312
LOUISVILLE, KY 40207

Jefferson County (502) 899-7377

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 Khalid Ghosheh's NPI number?

The NPI number for Khalid Ghosheh is 1164452959. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Khalid Ghosheh located?

Khalid Ghosheh practices at 4003 Kresge Way Suite 500, Louisville, KY 40207. The listed phone number is (502) 897-1166.

What is Khalid Ghosheh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Khalid Ghosheh enrolled in Medicare?

Yes. Khalid Ghosheh 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 Khalid Ghosheh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Khalid Ghosheh 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 Khalid Ghosheh affiliated with any hospitals?

According to CMS data, Khalid Ghosheh is affiliated with Baptist Health Floyd, Baptist Health Hardin, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Khalid Ghosheh was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.