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MASOOD GHOUSE
NPI 1215120928
Internal Medicine - Hematology & Oncology in Ada, OK

Active since August 26, 2007PECOS EnrolledAccepts Medicare Assignment
430 N MONTE VISTA ST, ADA, OK 74820(580) 421-1141 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Dec 13, 2024, Mar 20, 2021 (3 updates tracked since 2021).

About Masood Ghouse NPPES

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

MASOOD GHOUSE (NPI 1215120928) is an individual hematology & oncology provider in Ada, Oklahoma, licensed in Oklahoma (8789) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and maintains a secondary practice location in Orland Park.

NPPES Registry Identity

NPI1215120928
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMASOOD GHOUSE
Location Address430 N MONTE VISTA STAda, OK 74820-4610
Mailing Address430 N Monte Vista StAda, OK 74820-4610 · (580) 421-1141
Phone(580) 421-1141
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2005
Enumeration DateAugust 26, 2007
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1215120928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in OK · 8789✔ Licensed in IL · 036129177
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.
430 N MONTE VISTA ST, Ada, OK 74820
Open in Google Maps ↗

Secondary Practice Location 1

Location 116001 S 88th AveOrland Park, IL 60462-5704 · Phone (414) 732-6132

Other Identifiers 2

OtherF400194061IL · Medicare Ptan
Medicaid036129177IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.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

Masood Ghouse 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 ID7416107396
PECOS Enrollment IDI20241202002917
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 Reassignment

Medicare enrollment records show Masood Ghouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Oklahoma Communities
79 mi
Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
NPI 1386874550 (405) 752-3333

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 8

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.
469 services279 patients
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.
374 services171 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
137 services72 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.
77 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370020
Location430 North Monte VistaAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Coal County General Hospital, Inc.

Critical Access Hospitals · Coalgate, OK
OwnershipProprietary
CMS Certification Number371319
Location6 North CovingtonCoalgate, OK 74538 · Coal County
Emergency services

Holdenville General Hospital

Critical Access Hospitals · Holdenville, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371321
Location100 Mcdougal DriveHoldenville, OK 74848 · Hughes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers35 claims1,428 services$0.35 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers39 claims3,120 services$0.72 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier17 claims82 services$35.21 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
1 supplier15 claims20 services$290.85 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers26 claims26 services$18.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers37 claims46 services$12.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MERCY HOSPITAL ADA, INC
Medicare Defined Swing Bed Unit
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
MICHELLE L PLUMMER COTA/L
Occupational Therapy Assistant
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-3349
JAMIE C KOCH MD
Anesthesiology
430 N MONTE VISTA ST, OK
ADA, OK 74820
Pontotoc County (580) 421-1160
MERCY HOSPITAL ADA, INC
Psychiatric Unit
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
MADISON MORRIS
Physician Assistant
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
SHANNON D KRUEGER
Registered Nurse (Diabetes Educator)
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 421-1511
MRS. KRYSTAL BROOKE SPRINGFIELD RN, CDCES
Registered Nurse (Diabetes Educator)
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 421-1228
NATHAN HARPER HARRIS MD
Emergency Medicine
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323

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 Masood Ghouse's NPI number?

The NPI number for Masood Ghouse is 1215120928. It was assigned to this individual provider in the NPPES registry on August 26, 2007.

Where is Masood Ghouse located?

Masood Ghouse practices at 430 N Monte Vista St, Ada, OK 74820. The listed phone number is (580) 421-1141.

What is Masood Ghouse's specialty?

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

Is Masood Ghouse enrolled in Medicare?

Yes. Masood Ghouse 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 Masood Ghouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Masood Ghouse reassigns Medicare benefits to Mercy Clinic Oklahoma Communities (Oklahoma City, OK). 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 Masood Ghouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Masood Ghouse accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Masood Ghouse 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 Masood Ghouse affiliated with any hospitals?

According to CMS data, Masood Ghouse is affiliated with Mercy Hospital Oklahoma City, Inc, Mercy Hospital Ada, Chickasaw Nation Medical Center, Coal County General Hospital, Inc. and Holdenville General Hospital.

When was this NPI record last updated?

The NPPES record for Masood Ghouse was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.