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GHADA METWALLY AHMED ELSAYED M.D.
NPI 1225470701
Internal Medicine - Rheumatology in Blairsville, PA

Active since July 24, 2013PECOS EnrolledAccepts Medicare Assignment
95.81/100
CMS Quality Rating
25 COLONY BLVD STE 109, BLAIRSVILLE, PA 15717(724) 427-2762(999) 999-9999 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2020, Apr 15, 2020, Mar 17, 2017 and 1 more (4 updates tracked since 2016).

About Ghada Metwally Ahmed Elsayed M.d. NPPES

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

GHADA METWALLY AHMED ELSAYED M.D. (NPI 1225470701) is an individual rheumatology provider in Blairsville, Pennsylvania, licensed in Wisconsin (65535) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225470701
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameGHADA METWALLY AHMED ELSAYEDCredential: M.D.
Location Address25 COLONY BLVD STE 109Blairsville, PA 15717-7971
Mailing Address25 Colony Blvd Ste 109Blairsville, PA 15717-7971 · (724) 427-2762 · Fax (999) 999-9999
Phone(724) 427-2762
Fax(999) 999-9999
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 24, 2013
Last NPPES UpdateSeptember 30, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1225470701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WI · 65535
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125063864 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 65535 (WI)
25 COLONY BLVD STE 109, Blairsville, PA 15717
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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

Ghada Metwally Ahmed Elsayed M.d. 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 ID143532093
PECOS Enrollment IDI20241017002152, I20250906000504
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 3

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.
81 services80 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services32 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
20 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15717 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability81
Improvement Activities40

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 Ghada Metwally Ahmed Elsayed's NPI number?

The NPI number for Ghada Metwally Ahmed Elsayed is 1225470701. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Where is Ghada Metwally Ahmed Elsayed located?

Ghada Metwally Ahmed Elsayed practices at 25 Colony Blvd Ste 109, Blairsville, PA 15717. The listed phone number is (724) 427-2762.

What is Ghada Metwally Ahmed Elsayed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ghada Metwally Ahmed Elsayed enrolled in Medicare?

Yes. Ghada Metwally Ahmed Elsayed 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.

Is Ghada Metwally Ahmed Elsayed affiliated with any hospitals?

According to CMS data, Ghada Metwally Ahmed Elsayed is affiliated with Piedmont Hospital, Acmh Hospital and Indiana Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ghada Metwally Ahmed Elsayed was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.