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GHADA RABAN MD
NPI 1336109529
Hospitalist in San Tan Valley, AZ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
92.29/100
CMS Quality Rating
37000 N GANTZEL RD, SAN TAN VALLEY, AZ 85140(480) 394-4248(480) 394-4718 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ghada Raban Md NPPES

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

GHADA RABAN MD (NPI 1336109529) is an individual hospitalist provider in San Tan Valley, Arizona, licensed in Arizona (32276) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1336109529
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameGHADA RABANCredential: MD
Location Address37000 N GANTZEL RDSan Tan Valley, AZ 85140-7303
Mailing Address1900 N Higley Road, Attn: HospitalistsGilbert, AZ 85234 · (480) 543-2034 · Fax (480) 543-2647
Phone(480) 394-4248
Fax(480) 394-4718
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 23, 2006
Last NPPES UpdateSeptember 24, 2015
✔ NPI 1336109529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 32276
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 32276 (AZ)
37000 N GANTZEL RD, San Tan Valley, AZ 85140
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Other Identifiers 7

OtherAZ0745510AZ · Bcbs
OtherP00085971AZ · Rr Medicare
Medicare PIN102138AZ
Medicare ID-Type UnspecifiedZ77113AZ
Medicaid83011802AZ
Medicare UPINH98225AZ
Medicare PIN102104AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company.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

Ghada Raban 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 ID7214820703
PECOS Enrollment IDI20040206000915
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 6

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.

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.
211 services126 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.
142 services94 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
94 services92 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.
61 services60 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
41 services41 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85140 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost66.94

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers39 claims39 services$16.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$5.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers39 claims39 services$83.68 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$14.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NICHOLAS NIEMYER RN
Nurse Practitioner (Neonatal, Critical Care)
37000 N GANTZEL RD
QUEEN CREEK, AZ 85140
Maricopa County (602) 476-8962
YANG XUAN DO
Hospitalist
37000 N GANTZEL RD
SAN TAN VALLEY, AZ 85140
Maricopa County (480) 943-7124
DANIELLA ROCHELLE CLEVELAND FNP
Nurse Practitioner (Family)
37000 N GANTZEL RD
QUEEN CREEK, AZ 85140
Maricopa County (480) 394-4000
ANDREW MICHAEL SMITH M.D
Emergency Medicine
37000 N GANTZEL RD
SAN TAN VALLEY, AZ 85140
Maricopa County (480) 394-4000
BRIANNA JENNAS AGANP
Nurse Practitioner
37000 N GANTZEL RD
QUEEN CREEK, AZ 85140
Maricopa County (480) 394-4000
JOHN CRUZ ORTIZ JR. ACNP
Nurse Practitioner (Acute Care)
37000 N GANTZEL RD
SAN TAN VALLEY, AZ 85140
Maricopa County (480) 394-4000
BANNER IRONWOOD MEDICAL CENTER
General Acute Care Hospital
37000 N GANTZEL RD
QUEEN CREEK, AZ 85140
Maricopa County (480) 394-4000
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
Clinic/Center (Multi-Specialty)
37000 N GANTZEL RD
SAN TAN VALLEY, AZ 85140
Maricopa County (480) 543-2034

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 Raban's NPI number?

The NPI number for Ghada Raban is 1336109529. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Ghada Raban located?

Ghada Raban practices at 37000 N Gantzel Rd, San Tan Valley, AZ 85140. The listed phone number is (480) 394-4248.

What is Ghada Raban's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ghada Raban enrolled in Medicare?

Yes. Ghada Raban 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 Ghada Raban accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Oscar Insurance Company list Ghada Raban 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.

When was this NPI record last updated?

The NPPES record for Ghada Raban was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.