RONY M GHAOUI MD
NPI 1396933248
Internal Medicine - Gastroenterology in Springfield, MA

Active since October 04, 2007PECOS EnrolledAccepts Medicare Assignment
3300 MAIN STREET, 3RD FLOOR, SUITE A&B, SPRINGFIELD, MA 01107(413) 794-7364(413) 794-7482 Get Directions Write a Review

NPPES record last updated: January 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2018, May 19, 2016 (2 updates tracked since 2016).

About Rony M Ghaoui Md NPPES

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

RONY M GHAOUI MD (NPI 1396933248) is an individual gastroenterology provider in Springfield, Massachusetts, licensed in Massachusetts (234219) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Baystate Wing Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1396933248
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRONY M GHAOUICredential: MD
Location Address3300 MAIN STREET, 3RD FLOOR, SUITE A&BSpringfield, MA 01107-1112
Mailing Address280 Chestnut Street, 2nd FloorSpringfiled, MA 01199-1001 · (413) 794-5700
Fax(413) 794-7482
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 4, 2007
Last NPPES UpdateJanuary 12, 20182 updates tracked since enumeration
NPI 1396933248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MA · 234219
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.
3300 MAIN STREET, Springfield, MA 01107

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

Rony M Ghaoui 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 ID8022181858
PECOS Enrollment IDI20080726000039
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 15

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.

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.
164 services163 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.
112 services112 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
87 services86 patients
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.
87 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.
36 services35 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.
32 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

Physician Assistant (Medical)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Advanced Practice Midwife
3300 MAIN STREET, SUITE 4D
SPRINGFIELD, MA 01107
Psychiatry & Neurology (Psychiatry)
3300 MAIN STREET, SUITE 3C & 3D
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Psychologist
3300 MAIN STREET, 4A
SPRINGFIELD, MA 01107
Physician Assistant (Medical)
3300 MAIN STREET, 3RD FL, SUITE C&D
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
3300 MAIN STREET, 3RD FL, SUITE A
SPRINGFIELD, MA 01107
Nurse Practitioner (Psychiatric/Mental Health)
3300 MAIN STREET
SPRINGFIELD, MA 01107

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 Rony Ghaoui's NPI number?

The NPI number for Rony Ghaoui is 1396933248. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Rony Ghaoui located?

Rony Ghaoui practices at 3300 Main Street 3rd Floor, Suite A&b, Springfield, MA 01107. The listed phone number is (413) 794-7364.

What is Rony Ghaoui's specialty?

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

Is Rony Ghaoui enrolled in Medicare?

Yes. Rony Ghaoui 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 Rony Ghaoui accept?

Health plans from Anthem Blue Cross and Blue Shield list Rony Ghaoui 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 Rony Ghaoui affiliated with any hospitals?

According to CMS data, Rony Ghaoui is affiliated with Baystate Wing Hospital, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Rony Ghaoui was last updated on January 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.