ADEL GHACHAM MD
NPI 1205454246
Family Medicine in East Lansing, MI
About Adel Ghacham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADEL GHACHAM MD (NPI 1205454246) is an individual family medicine provider in East Lansing, Michigan, licensed in Michigan (4301509398) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Adel Ghacham 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.
Medicare Billing Reassignment
Medicare enrollment records show Adel Ghacham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Lansing, MI 48824
- Reassigned Medicare billing, Michigan enrollment
- 365 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health Hospital
Acute Care Hospitals · Detroit, MIMclaren Greater Lansing
Acute Care Hospitals · Lansing, MIEdward W Sparrow Hospital
Acute Care Hospitals · Lansing, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48824 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 16
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 Adel Ghacham's NPI number?
The NPI number for Adel Ghacham is 1205454246. It was assigned to this individual provider in the NPPES registry on July 7, 2020.
Where is Adel Ghacham located?
Adel Ghacham practices at 804 Service Rd Ste A225, East Lansing, MI 48824. The listed phone number is (517) 353-2562.
What is Adel Ghacham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adel Ghacham enrolled in Medicare?
Yes. Adel Ghacham 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 organization bills Medicare for Adel Ghacham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adel Ghacham reassigns Medicare benefits to Msu Health Care Inc (East Lansing, MI). The 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 Adel Ghacham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adel Ghacham accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Adel Ghacham 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 Adel Ghacham affiliated with any hospitals?
According to CMS data, Adel Ghacham is affiliated with Henry Ford Health Hospital, Mclaren Greater Lansing and Edward W Sparrow Hospital.
When was this NPI record last updated?
The NPPES record for Adel Ghacham was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.