DR. HAYSAM GHANNOUM MD NPI 1205883220
Internal Medicine in Tulsa, OK
About DR. HAYSAM GHANNOUM MD
Haysam Ghannoum is an internist established in Tulsa, Oklahoma and his medical specialization is Internal Medicine with more than 24 years of experience. The NPI number of this provider is 1205883220 and was assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 21933 (OK). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1205883220 |
| Provider Name | DR. HAYSAM GHANNOUM MD |
| Location Address | 1145 S UTICA AVE STE 1105 TULSA, OK 74104 |
| Location Phone | (918) 579-5724 |
| Mailing Address | 1611 S UTICA AVE # 414 TULSA, OK 74104 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Is Sole Proprietor? | N/A |
| Enumeration Date | 05-27-2006 |
| Last Update Date | 07-09-2007 |
An internist like Haysam Ghannoum is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Haysam Ghannoum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Haysam Ghannoum is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Greater Baltimore Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.94 for a new patient copayment and $24.61 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 21933 |
| License State | OK |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1145 S UTICA AVE
STE 1105
TULSA, OK
ZIP 74104
Phone: (918) 579-5724
Fax: (918) 560-5791
Mailing Address
1611 S UTICA AVE
# 414
TULSA, OK
ZIP 74104
Phone: (918) 579-5724
Fax: (918) 560-5791
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3870482086 |
| PECOS Enrollment ID | I20091008000077 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | No |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 74104 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $54.97 | $168.9 | $127.76 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.74 | $42.22 | $31.94 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.8 | $137.83 | $98.45 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.2 | $34.45 | $24.61 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Haysam Ghannoum is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| GREATER BALTIMORE MEDICAL CENTER | 6701 NORTH CHARLES STREET BALTIMORE, MD 21204 | (443) 849-2000 | Acute Care Hospitals | 210044 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00096057 | OTHER (01) | OK | RAILROAD MEDICARE PIN |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 8 | 8 | 3 | 2 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 16 | 8 | 6 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 6 + 8 + 6 + 2 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1205883220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326028929 | DR. SUSAN D GREEN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1145 S UTICA AVE SUITE 365 TULSA, OK 74104 (405) 842-2061 |
| 1134199870 | MS. JULIA A SHIRK AU.D. Individual | Audiologist | 1145 S UTICA AVE SUITE 302 TULSA, OK 74104 (918) 592-3737 |
| 1467422121 | DR. CAROL A LAMBERT AU.D. Individual | Audiologist | 1145 S UTICA AVE SUITE 302 TULSA, OK 74104 (918) 592-3737 |
| 1205808847 | ANATOMIC PATHOLOGY SERVICES INC Organization | Clinical Medical Laboratory | 1145 S UTICA AVE SUITE 367 TULSA, OK 74104 (918) 749-7964 |
| 1871562710 | DR. NICHOLAS DANIEL GOULD LMFT Individual | Marriage & Family Therapist | 1145 S UTICA AVE SUITE 1013 TULSA, OK 74104 (918) 579-2935 |
| 1750324844 | SHASHI A HUSAIN M.D. Individual | Specialist | 1145 S UTICA AVE SUITE 520 TULSA, OK 74104 (918) 587-5534 |
| 1457389454 | DEBORAH NOBLE BAIRD MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1145 S UTICA AVE SUITE 262 TULSA, OK 74104 (918) 579-3035 |
| 1780614396 | MR. THOMAS A HOFFMANN PHD Individual | Psychologist (Counseling) | 1145 S UTICA AVE SUITE 364 TULSA, OK 74104 (918) 496-5195 |
| 1801811708 | JONATHAN MARTIN ANTHONY MD Individual | Anesthesiology | 1145 S UTICA AVE TULSA, OK 74104 (918) 579-3646 |
| 1891711057 | HEARING SPECIALISTS OF TULSA, PLLC Organization | Hearing Aid Equipment | 1145 S UTICA AVE SUITE 302 TULSA, OK 74104 (918) 592-3737 |
| 1114032539 | PHILLIP RAY BERRY D.O. Individual | Family Medicine (Adult Medicine) | 1145 S UTICA AVE SUITE 453 TULSA, OK 74104 (918) 596-7078 |
| 1124139126 | PAIN INSTITUTE OF TULSA, INC Organization | Specialist | 1145 S UTICA AVE SUITE 364 TULSA, OK 74104 (918) 496-5195 |
| 1033291836 | SCOTT ROBISONS RX INC Organization | Pharmacy (Community/Retail Pharmacy) | 1145 S UTICA AVE STE 18 TULSA, OK 74104 (918) 582-7144 |
| 1033269691 | BOARD OF REGENTS OF THE UNIVERSITY OF OKLHOAMA OU PHYSICIANS TULSA Organization | Urology | 1145 S UTICA AVE STE 202 TULSA, OK 74104 (918) 579-3130 |
| 1659566370 | TULSA NEUROLOGY & HEADACHE CLINIC, INC Organization | Specialist | 1145 S UTICA AVE SUITE 520 TULSA, OK 74104 (918) 587-5534 |
| 1033388921 | MRS. ROSE MARIE MARTINO OTR/L Individual | Occupational Therapist | 1145 S UTICA AVE SUITE 262 TULSA, OK 74104 (918) 579-3035 |
| 1134393192 | ROBERT CHARLES THOMPSON SLP Individual | Speech-Language Pathologist | 1145 S UTICA AVE SUITE 262 TULSA, OK 74104 (918) 579-3035 |
| 1285899872 | SHANNA ELAINE HAMPTON DO Individual | Internal Medicine | 1145 S UTICA AVE #1105 TULSA, OK 74104 (918) 579-5749 |
| 1841599115 | MS. AMY S MCDONALD PA-C Individual | Physician Assistant | 1145 S UTICA AVE #1105 TULSA, OK 74104 (918) 579-5781 |
| 1801855200 | DR. TAMARA L. HOLT DO Individual | Internal Medicine | 1145 S UTICA AVE SUITE 1105 TULSA, OK 74104 (918) 579-5749 |
Frequently Asked Questions
What is Dr. Haysam Ghannoum MD NPI number?
The NPI number assigned to this healthcare provider is 1205883220, registered as an "individual" on May 27, 2006
Where is Dr. Haysam Ghannoum MD located?
The provider is located at 1145 S Utica Ave Ste 1105 Tulsa, Ok 74104 and the phone number is (918) 579-5724
Which is Dr. Haysam Ghannoum MD specialty?
The provider's speciality is Internal Medicine
How many years of experience does Dr. Haysam Ghannoum MD have?
The provider has more than 24 years of experience.
What insurance does Dr. Haysam Ghannoum MD accept?
The provider might be accepting Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Haysam Ghannoum MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
How much is a visit to Dr. Haysam Ghannoum MD?
Medicare beneficiaries should expect a typical cost of $127.76 with an average copayment of $31.94 for new patient appointments. Established patients should expect a typical charge of $98.45 and an average copayment of 24.61. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Dr. Haysam Ghannoum MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: GREATER BALTIMORE MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Haysam Ghannoum MD was last updated on May 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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