DR. MUHAMMAD S. GHUMMAN M.D.
NPI 1265670251
Internal Medicine - Interventional Cardiology in Pensacola, FL

Active since January 28, 2009PECOS EnrolledAccepts Medicare Assignment
1717 N E ST STE 331, PENSACOLA, FL 32501(850) 484-6500(850) 857-1747 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Muhammad S. Ghumman M.d. NPPES

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

DR. MUHAMMAD S. GHUMMAN M.D. (NPI 1265670251) is an individual interventional cardiology provider in Pensacola, Florida, licensed in Florida (ME132606) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of New York University School Of Medicine (2006).

NPPES Registry Identity

NPI1265670251
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. MUHAMMAD S. GHUMMANCredential: M.D.
Location Address1717 N E ST STE 331Pensacola, FL 32501
Mailing Address1717 N E St Ste 331Pensacola, FL 32501-6335 · (850) 484-6500 · Fax (850) 857-1747
Fax(850) 857-1747
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2006
Enumeration DateJanuary 28, 2009
Last NPPES UpdateSeptember 18, 2018
NPI 1265670251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in FL · ME132606
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1717 N E ST STE 331, Pensacola, FL 32501

Other Identifiers 2

Medicaid021127200FL
Medicaid203162AL

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. Muhammad S. Ghumman 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 ID5890913867
PECOS Enrollment IDI20170821000808
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 25

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.
405 services272 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
341 services334 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
140 services85 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.
103 services99 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
100 services84 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
96 services89 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32501 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1717 N E ST STE 331
PENSACOLA, FL 32501
Nurse Practitioner
1717 N E ST STE 331
PENSACOLA, FL 32501
Nurse Practitioner
1717 N E ST STE 331
PENSACOLA, FL 32501
Nurse Practitioner
1717 N E ST STE 331
PENSACOLA, FL 32501
Nurse Practitioner
1717 N E ST STE 331
PENSACOLA, FL 32501
Nurse Practitioner (Family)
1717 N E ST STE 331
PENSACOLA, FL 32501
Physician Assistant
1717 N E ST STE 331
PENSACOLA, FL 32501

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 Muhammad Ghumman's NPI number?

The NPI number for Muhammad Ghumman is 1265670251. It was assigned to this individual provider in the NPPES registry on January 28, 2009.

Where is Muhammad Ghumman located?

Muhammad Ghumman practices at 1717 N E St Ste 331, Pensacola, FL 32501. The listed phone number is (850) 484-6500.

What is Muhammad Ghumman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Muhammad Ghumman enrolled in Medicare?

Yes. Muhammad Ghumman 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 Muhammad Ghumman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list Muhammad Ghumman 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 Muhammad Ghumman affiliated with any hospitals?

According to CMS data, Muhammad Ghumman is affiliated with Orlando Health and Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Muhammad Ghumman was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.