ADEL GHACHAM MD
NPI 1205454246
Family Medicine in East Lansing, MI

Active since July 07, 2020PECOS EnrolledAccepts Medicare Assignment
99.66/100
CMS Quality Rating
804 SERVICE RD STE A225, EAST LANSING, MI 48824(517) 353-2562(517) 353-2563 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2023, Jul 7, 2020 (2 updates tracked since 2020).

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

NPI1205454246
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADEL GHACHAMCredential: MD
Location Address804 SERVICE RD STE A225East Lansing, MI 48824-7015
Mailing Address804 Service Rd Ste A202East Lansing, MI 48824-7015 · (517) 353-2562 · Fax (517) 353-2563
Fax(517) 353-2563
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 7, 2020
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1205454246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301509398
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.
804 SERVICE RD STE A225, East Lansing, MI 48824

Accepted 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

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.

PECOS PAC ID7719300557
PECOS Enrollment IDI20230913000550
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 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.

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.
49 services31 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

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, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

99.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.31
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
804 SERVICE RD STE A225
EAST LANSING, MI 48824
Family Medicine
804 SERVICE RD STE A225
EAST LANSING, MI 48824
Family Medicine
804 SERVICE RD STE A225
EAST LANSING, MI 48824
Nurse Practitioner
804 SERVICE RD STE A225
EAST LANSING, MI 48824
Family Medicine
804 SERVICE RD STE A225
EAST LANSING, MI 48824
Social Worker (Clinical)
804 SERVICE RD STE A225
EAST LANSING, MI 48824
Family Medicine
804 SERVICE RD STE A225
EAST LANSING, MI 48824
Obstetrics & Gynecology
804 SERVICE RD STE A225
EAST LANSING, MI 48824

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.

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 2 other insurers 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 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.