MOHAMMED GHANIM MD
NPI 1174368229
Family Medicine in Waterloo, IA

Q: What is Mohammed Ghanim's NPI number?

The NPI number for Mohammed Ghanim is 1174368229. It was assigned to this individual provider in the NPPES registry on June 29, 2024.

Q: What is Mohammed Ghanim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mohammed Ghanim was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 29, 2024PECOS Enrolled

2055 KIMBALL AVE STE 101, WATERLOO, IA 50702(319) 272-2529(319) 272-2527 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mohammed Ghanim Md NPPES

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

MOHAMMED GHANIM MD (NPI 1174368229) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (R-13329) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174368229

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMOHAMMED GHANIMCredential: MD

Location Address2055 KIMBALL AVE STE 101Waterloo, IA 50702-5047

Mailing Address2055 Kimball Ave Ste 101Waterloo, IA 50702-5047 · (319) 272-2529 · Fax (319) 272-2527

Phone(319) 272-2529

Fax(319) 272-2527

Sole ProprietorNo

Enumeration DateJune 29, 2024

NPPES CertifiedJune 20, 2024

✔ NPI 1174368229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R-13329

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2055 KIMBALL AVE STE 101, Waterloo, IA 50702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammed Ghanim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $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.

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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.

KURTIS ALAN LUCAS MD

Family Medicine