NADER ZAKI ELGHARIB M.D.
NPI 1194962068
Internal Medicine - Interventional Cardiology in Utica, NY
About Nader Zaki Elgharib M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NADER ZAKI ELGHARIB M.D. (NPI 1194962068) is an individual interventional cardiology provider in Utica, New York, licensed in New York (003324) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Weston, and maintains a secondary practice location in Weston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nader Zaki Elgharib 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.
Medicare Billing Reassignments
6Medicare enrollment records show Nader Elgharib reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waupun, WI 53963
- Reassigned Medicare billing, Wisconsin enrollment
- 1,447 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,283 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1700963048 (Wisconsin)
- 1,351 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center - Weston
Acute Care Hospitals · Weston, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nader Elgharib's NPI number?
The NPI number for Nader Elgharib is 1194962068. It was assigned to this individual provider in the NPPES registry on January 14, 2009.
Where is Nader Elgharib located?
Nader Elgharib practices at 1676 Sunset Ave, Utica, NY 13502. The listed phone number is (315) 624-8130.
What is Nader Elgharib's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Nader Elgharib enrolled in Medicare?
Yes. Nader Elgharib 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.
Which organizations bill Medicare for Nader Elgharib's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nader Elgharib reassigns Medicare benefits to 6 organizations: Beaver Dam Community Hospitals Inc (Waupun, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nader Elgharib's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nader Elgharib accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Nader Elgharib 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 Nader Elgharib affiliated with any hospitals?
According to CMS data, Nader Elgharib is affiliated with Marshfield Medical Center - Weston.
When was this NPI record last updated?
The NPPES record for Nader Elgharib was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Nader Zaki Elgharib, M.D. · NPI 1194962068
Interventional Cardiology physician in Utica, New York. Individual provider, active in the CMS NPPES registry since January 14, 2009.
## Identity
- **NPI:** 1194962068 (Entity type: Individual)
- **Enumerated:** January 14, 2009
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** 003324 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1676 SUNSET AVE, Utica, NY 13502-5416
- **Phone:** (315) 624-8130 · **Fax:** (315) 624-8139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Beaver Dam Community Hospitals Inc (NPI 1629374780, Waupun, WI); Mchs Hospitals, Inc. (NPI 1386249894, Plover, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Memorial Hospital, Inc (NPI 1679746747, Neillsville, WI); Flambeau Hospital Inc (NPI 1194317966, Park Falls, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** March 5, 2026
- **Other identifiers:** Medicaid 03113962 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1194962068) · Data from the CMS NPPES public registry.