DR. ASHRAF MOHAMED ELGHUL MD
NPI 1225121585
Internal Medicine in Huntington, WV

Q: What is Ashraf Elghul's NPI number?

The NPI number for Ashraf Elghul is 1225121585. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Q: What is Ashraf Elghul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashraf Elghul was last updated on May 9, 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.

Active since October 01, 2006PECOS EnrolledAccepts Medicare Assignment

1249 15TH ST STE 2000, HUNTINGTON, WV 25701(304) 691-1000(304) 691-1693 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Apr 7, 2023 (2 updates tracked since 2023).

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About Dr. Ashraf Mohamed Elghul Md NPPES

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

DR. ASHRAF MOHAMED ELGHUL MD (NPI 1225121585) is an individual internal medicine provider in Huntington, West Virginia, licensed in West Virginia (22302) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1225121585

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ASHRAF MOHAMED ELGHULCredential: MD

Location Address1249 15TH ST STE 2000Huntington, WV 25701-3662

Mailing Address1448 10th Ave Ste 304Huntington, WV 25701-3579 · (304) 691-1000 · Fax (304) 691-1693

Phone(304) 691-1000

Fax(304) 691-1693

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 1, 2006

Last NPPES UpdateMay 9, 20232 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1225121585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WV · 22302

Definition

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.

Also ListedSpecialistTaxonomy 174400000X · License 22302 (WV)

Also ListedHospitalistTaxonomy 208M00000X · License 036112322 (IL)

1249 15TH ST STE 2000, Huntington, WV 25701

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Accepted Insurance

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

Dr. Ashraf Mohamed Elghul 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 ID9830158849

PECOS Enrollment IDI20070111000324

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

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

University Physicians & Surgeons, Inc

0.2 mi

Internal Medicine

1600 MEDICAL CENTER DRIVE
Huntington, WV 25701

Reassigned Medicare billing, West Virginia enrollment
525 clinicians in this Medicare group

NPI 1730183286 (304) 691-8722

Deaconess Illinois Specialty Clinic, Inc.

336 mi

Podiatrist

303 S COMMERCIAL ST STE 15
Harrisburg, IL 62946

Reassigned Medicare billing, Illinois enrollment
228 clinicians in this Medicare group

NPI 1497462956 (618) 767-6050

Sound Physicians Of Illinois, LLC

434 mi

Hospitalist

12303 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Illinois enrollment
419 clinicians in this Medicare group

NPI 1043598865 (314) 344-6000

Cogent Healthcare Of Illinois, LLC

493 mi

Internal Medicine

1005 BROADWAY ST
Quincy, IL 62301

Reassigned Medicare billing, Illinois enrollment
81 clinicians in this Medicare group

NPI 1487897849 (615) 377-5652

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.

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.

249 services104 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.

118 services106 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

67 services63 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.

61 services50 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.

47 services42 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510007

Location2900 1st AvenueHuntington, WV 25702 · Cabell County

Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510055

Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

MIKELLE WORKMAN FNP-BC

Nurse Practitioner (Family)