ATHAR GHANNAM MD
NPI 1295351500
Family Medicine in Jackson, MI
About Athar Ghannam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHAR GHANNAM MD (NPI 1295351500) is an individual family medicine provider in Jackson, Michigan, licensed in Michigan (4301509386) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains a secondary practice location in Flint.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Athar Ghannam 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.
Medicare Billing Reassignments
2Medicare enrollment records show Athar Ghannam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- 474 clinicians in this Medicare group
Brooklyn, MI 49230
- Reassigned Medicare billing, Michigan enrollment
- 1,480 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Health Oakland Hospital
Acute Care Hospitals · Pontiac, MITrinity Health Ann Arbor Hospital
Acute Care Hospitals · Ann Arbor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MI 49202
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 Athar Ghannam's NPI number?
The NPI number for Athar Ghannam is 1295351500. It was assigned to this individual provider in the NPPES registry on June 23, 2020.
Where is Athar Ghannam located?
Athar Ghannam practices at 3235 E Michigan Ave Ste 100, Jackson, MI 49202. The listed phone number is (517) 205-3280.
What is Athar Ghannam's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Athar Ghannam enrolled in Medicare?
Yes. Athar Ghannam 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 Athar Ghannam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Athar Ghannam reassigns Medicare benefits to 2 organizations: W.A. Foote Memorial Hospital, Inc (Jackson, MI) and Iha Health Services Corporation (Brooklyn, MI). 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 Athar Ghannam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Athar Ghannam accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Athar Ghannam 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 Athar Ghannam affiliated with any hospitals?
According to CMS data, Athar Ghannam is affiliated with Trinity Health Oakland Hospital and Trinity Health Ann Arbor Hospital.
When was this NPI record last updated?
The NPPES record for Athar Ghannam was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Athar Ghannam, MD · NPI 1295351500
Family Medicine physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since June 23, 2020.
## Identity
- **NPI:** 1295351500 (Entity type: Individual)
- **Enumerated:** June 23, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301509386 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3235 E MICHIGAN AVE STE 100, Jackson, MI 49202-3971
- **Phone:** (517) 205-3280 · **Fax:** (517) 205-1181
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): W.A. Foote Memorial Hospital, Inc (NPI 1073051199, Jackson, MI); Iha Health Services Corporation (NPI 1790343374, Brooklyn, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295351500) · Data from the CMS NPPES public registry.