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DR. GHANEM ALMOUNAJED MD
NPI 1235146150
Internal Medicine - Gastroenterology in Flint, MI

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
5059 VILLA LINDE, STE 28, FLINT, MI 48532(810) 720-7600(810) 720-8220 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ghanem Almounajed Md NPPES

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

DR. GHANEM ALMOUNAJED MD (NPI 1235146150) is an individual gastroenterology provider in Flint, Michigan, licensed in Michigan (4301069125) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida West Hospital, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1235146150
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GHANEM ALMOUNAJEDCredential: MD
Location Address5059 VILLA LINDE, STE 28Flint, MI 48532
Mailing Address5059 Villa Linde, Ste 28Flint, MI 48532 · (810) 720-7600 · Fax (810) 720-8220
Phone(810) 720-7600
Fax(810) 720-8220
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 2, 2006
Last NPPES UpdateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1235146150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MI · 4301069125✔ Licensed in MI · GA069125
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License GA069125 (MI)
5059 VILLA LINDE, Flint, MI 48532
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 John St Ste M-302Kalamazoo, MI 49007-5357 · Phone (269) 349-2266

Other Identifiers 2

Other1102504982MI · Bcbs - Mi
Medicaid104224997MI

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. Ghanem Almounajed 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 ID446358766
PECOS Enrollment IDI20070611000630
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

6

Medicare enrollment records show Ghanem Almounajed reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan Gastroenterology Clinic, PC
Same address
Specialist
5059 VILLA LINDE PKWY STE 28
Flint, MI 48532
  • Reassigned Medicare billing, Michigan enrollment
NPI 1639387244 (810) 720-7600
Edward W. Sparrow Hospital Association
40 mi
Obesity Medicine
2900 HANNAH BLVD, SUITE 216
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • 84 clinicians in this Medicare group
NPI 1083982748 (517) 364-8100
Sparrow Specialty Hospital
43 mi
Long Term Care Hospital
1215 E. MICHIGAN AVE, 8W TOWER
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 104 clinicians in this Medicare group
NPI 1437655842 (517) 364-2614
Ella E M Brown Charitable Circle
79 mi
Diagnostic Radiology
200 N MADISON ST
Marshall, MI 49068
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1043660467 (269) 781-4271
Bronson Methodist Hospital
105 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Lee Health System Inc
1,143 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500

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 7

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
57 services54 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
41 services41 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
33 services33 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.
29 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 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.
18 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Hurley Medical Center

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230132
LocationOne Hurley PlazaFlint, MI 48503 · Genesee County
Emergency services Birthing friendly

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48532 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
33%266 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%662 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%499 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 87% · 119 patients
Patients tobacco: 67% · 119 patients
29%35 patients2/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 167 patients
0%167 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Ghanem Almounajed's NPI number?

The NPI number for Ghanem Almounajed is 1235146150. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Ghanem Almounajed located?

Ghanem Almounajed practices at 5059 Villa Linde Ste 28, Flint, MI 48532. The listed phone number is (810) 720-7600.

What is Ghanem Almounajed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ghanem Almounajed enrolled in Medicare?

Yes. Ghanem Almounajed 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 organizations bill Medicare for Ghanem Almounajed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ghanem Almounajed reassigns Medicare benefits to 6 organizations: Michigan Gastroenterology Clinic, PC (Flint, MI), Edward W. Sparrow Hospital Association (East Lansing, MI), Sparrow Specialty Hospital (Lansing, MI), Ella E M Brown Charitable Circle (Marshall, MI), Bronson Methodist Hospital (Kalamazoo, MI) and 1 more organization, listed in the Medicare section above. Each 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 Ghanem Almounajed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ghanem Almounajed accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Ghanem Almounajed 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 Ghanem Almounajed affiliated with any hospitals?

According to CMS data, Ghanem Almounajed is affiliated with Hca Florida West Hospital, Hurley Medical Center, Mclaren Flint, Oaklawn Hospital and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Ghanem Almounajed was last updated on May 23, 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.