1. Home
  2. Directory
  3. Kentucky
  4. Morehead
  5. Internal Medicine
  6. NPI Profile

BARA ALZGHOUL MD
NPI 1205231925
Internal Medicine - Hematology & Oncology in Morehead, KY

Active since October 23, 2014PECOS EnrolledAccepts Medicare Assignment
222 MEDICAL CIR, MOREHEAD, KY 40351(606) 783-6500 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2024, Nov 9, 2018, Sep 5, 2018 (3 updates tracked since 2018).

About Bara Alzghoul Md NPPES

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

BARA ALZGHOUL MD (NPI 1205231925) is an individual hematology & oncology provider in Morehead, Kentucky, licensed in Kentucky (52179) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205231925
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameBARA ALZGHOULCredential: MD
Location Address222 MEDICAL CIRMorehead, KY 40351-1179
Mailing Address222 Medical CirMorehead, KY 40351-1179 · (606) 783-6500
Phone(606) 783-6500
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 23, 2014
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1205231925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 52179
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.
222 MEDICAL CIR, Morehead, KY 40351
Open in Google Maps ↗

Accepted Insurance

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

Bara Alzghoul Md 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 ID3779834262
PECOS Enrollment IDI20180921002620
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Bara Alzghoul reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Claire Medical Center, Inc.,
Same address
General Acute Care Hospital
222 MEDICAL CIR
Morehead, KY 40351
  • Reassigned Medicare billing, Kentucky enrollment
  • 296 clinicians in this Medicare group
NPI 1821168535 (606) 783-6500
Kentucky Medical Services Foundation, Inc
57 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
Ephraim Mcdowell Health Resource, Inc.
74 mi
Rural Health
189 FARRA DR
Lancaster, KY 40444
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
NPI 1972836559 (859) 792-2129
Ephraim Mcdowell Regional Medical Center, Incorporated
83 mi
Specialist
520 TECHWOOD DR N, STE 100
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 75 clinicians in this Medicare group
NPI 1336580554 (859) 236-2203

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
30 services17 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.
24 services18 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
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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 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.

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.

SAMUEL HUTCHINGS WORNALL
Pharmacist (Pharmacotherapy)
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6741
DR. TANNER PAUL BRONDHAVER DO
Family Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6455
RODNEY EWAN NGA DO
Student in an Organized Health Care Education/Training Program
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6455
DR. PAMELA HUGHES PHARMD
Pharmacist
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6740
REBECCA HAILEMICHAEL ALEMU MD
Internal Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6500
ANN COLBERT MD
Family Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6500
KYRA SHAE BAIER PA-C
Physician Assistant
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6500
SARAH ANN FEARIN ACNPC-AG
Nurse Practitioner (Acute Care)
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6500

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 Bara Alzghoul's NPI number?

The NPI number for Bara Alzghoul is 1205231925. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Bara Alzghoul located?

Bara Alzghoul practices at 222 Medical Cir, Morehead, KY 40351. The listed phone number is (606) 783-6500.

What is Bara Alzghoul's specialty?

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

Is Bara Alzghoul enrolled in Medicare?

Yes. Bara Alzghoul 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 Bara Alzghoul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bara Alzghoul reassigns Medicare benefits to 4 organizations: St Claire Medical Center, Inc., (Morehead, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY), Ephraim Mcdowell Health Resource, Inc. (Lancaster, KY) and Ephraim Mcdowell Regional Medical Center, Incorporated (Danville, KY). 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 Bara Alzghoul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bara Alzghoul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Bara Alzghoul 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 Bara Alzghoul affiliated with any hospitals?

According to CMS data, Bara Alzghoul is affiliated with St Claire Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Bara Alzghoul was last updated on August 7, 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.