SHAHAB GHAFGHAZI MD
NPI 1316195274
Internal Medicine - Cardiovascular Disease in Louisville, KY

Q: What is Shahab Ghafghazi's NPI number?

The NPI number for Shahab Ghafghazi is 1316195274. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Q: What is Shahab Ghafghazi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Shahab Ghafghazi was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

401 E CHESTNUT ST, SUITE 310, LOUISVILLE, KY 40202(502) 588-4600(502) 588-4693 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shahab Ghafghazi Md NPPES

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

SHAHAB GHAFGHAZI MD (NPI 1316195274) is an individual cardiovascular disease provider in Louisville, Kentucky, licensed in Kentucky (44594) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1316195274

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSHAHAB GHAFGHAZICredential: MD

Location Address401 E CHESTNUT ST, SUITE 310Louisville, KY 40202-5703

Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-4600 · Fax (502) 588-4693

Phone(502) 588-4600

Fax(502) 588-4693

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateSeptember 4, 2008

Last NPPES UpdateAugust 7, 2015

✔ NPI 1316195274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in KY · 44594

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

401 E CHESTNUT ST, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Shahab Ghafghazi 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 ID3971804881

PECOS Enrollment IDI20151218001321

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 18

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.

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.

533 services299 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.

345 services342 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

105 services97 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

88 services58 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

62 services57 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

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.

61 services46 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

51 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.

51 services49 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

36 services36 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

31 services30 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

30 services30 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.

30 services30 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.

22 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

19 services19 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

19 services19 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180141

Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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.

DR. CHRISTOPHER R. SHAFER M.D.

Psychiatry & Neurology (Neurology)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 588-4800

KELLI M. BULLARD DUNN MD

Colon & Rectal Surgery

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

JASON WAYNE SMITH MD

Surgery (Surgical Critical Care)

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

SRI PRAKASH L MOKSHAGUNDAM MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

401 E CHESTNUT ST, STE #310
LOUISVILLE, KY 40202

Jefferson County (502) 588-4600

DR. VICTORIA SKELTON YUNKER MD.

Psychiatry & Neurology (Psychiatry)

401 E CHESTNUT ST, SUITE 610
LOUISVILLE, KY 40202

Jefferson County (502) 588-4450

THERESA BRADSHAW BS

Occupational Therapist (Neurorehabilitation)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 589-0802

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

Surgery (Trauma Surgery)

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

Psychiatry & Neurology (Neurology)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 589-0802

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 Shahab Ghafghazi's NPI number?

The NPI number for Shahab Ghafghazi is 1316195274. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Shahab Ghafghazi located?

Shahab Ghafghazi practices at 401 E Chestnut St Suite 310, Louisville, KY 40202. The listed phone number is (502) 588-4600.

What is Shahab Ghafghazi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shahab Ghafghazi enrolled in Medicare?

Yes. Shahab Ghafghazi 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 Shahab Ghafghazi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Shahab Ghafghazi 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 Shahab Ghafghazi affiliated with any hospitals?

According to CMS data, Shahab Ghafghazi is affiliated with Jewish Hospital & St Mary's Healthcare and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Shahab Ghafghazi was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.