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

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: August 16, 2026.

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

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
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

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

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.

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.

Nurse Practitioner (Family)
1249 15TH ST STE 2000
HUNTINGTON, WV 25701
Internal Medicine (Geriatric Medicine)
1249 15TH ST STE 2000
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST STE 2000
HUNTINGTON, WV 25701
Internal Medicine
1249 15TH ST STE 2000
HUNTINGTON, WV 25701
Student in an Organized Health Care Education/Training Program
1249 15TH ST STE 2000
HUNTINGTON, WV 25701
Psychologist
1249 15TH ST STE 2000
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST STE 2000
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST STE 2000
HUNTINGTON, WV 25701

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 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.

Where is Ashraf Elghul located?

Ashraf Elghul practices at 1249 15th St Ste 2000, Huntington, WV 25701. The listed phone number is (304) 691-1000.

What is Ashraf Elghul's specialty?

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

Is Ashraf Elghul enrolled in Medicare?

Yes. Ashraf Elghul 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 Ashraf Elghul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Ashraf Elghul 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 Ashraf Elghul affiliated with any hospitals?

According to CMS data, Ashraf Elghul is affiliated with St Mary's Medical Center and Cabell Huntington Hospital, Inc.

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.