MEDHAT GHALY M.D.
NPI 1407218761
Hospitalist in Waterbury, CT
About Medhat Ghaly M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDHAT GHALY M.D. (NPI 1407218761) is an individual hospitalist provider in Waterbury, Connecticut, licensed in Connecticut (061928) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 3
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
Medhat Ghaly 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.
Medicare Billing Reassignments
3Medicare enrollment records show Medhat Ghaly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterbury, CT 06702
- Reassigned Medicare billing, Connecticut enrollment
- 97 clinicians in this Medicare group
Farmington, CT 06030
- Reassigned Medicare billing, Connecticut enrollment
- 788 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERBURY, CT 06708
WATERBURY, CT 06708
WATERBURY, CT 06708
WATERBURY, CT 06708
WATERBURY, CT 06708
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 Medhat Ghaly's NPI number?
The NPI number for Medhat Ghaly is 1407218761. It was assigned to this individual provider in the NPPES registry on March 25, 2016.
Where is Medhat Ghaly located?
Medhat Ghaly practices at 160 Robbins St Chase Outpatient Center, Waterbury, CT 06708. The listed phone number is (203) 573-7284.
What is Medhat Ghaly's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Medhat Ghaly enrolled in Medicare?
Yes. Medhat Ghaly 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 Medhat Ghaly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Medhat Ghaly reassigns Medicare benefits to 3 organizations: Staywell Health Care, Inc. (Waterbury, CT), University Of Connecticut Health Center (Farmington, CT) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). 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 Medhat Ghaly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Medhat Ghaly accept?
Health plans from Anthem Blue Cross and Blue Shield list Medhat Ghaly 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 Medhat Ghaly was last updated on January 18, 2024. 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.
# Medhat Ghaly, M.D. · NPI 1407218761
Hospitalist physician in Waterbury, Connecticut. Individual provider, active in the CMS NPPES registry since March 25, 2016.
## Identity
- **NPI:** 1407218761 (Entity type: Individual)
- **Enumerated:** March 25, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 061928 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 ROBBINS ST, CHASE OUTPATIENT CENTER, Waterbury, CT 06708-2652
- **Phone:** (203) 573-7284 · **Fax:** (203) 573-7031
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Staywell Health Care, Inc. (NPI 1154342335, Waterbury, CT); University Of Connecticut Health Center (NPI 1720083769, Farmington, CT); Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407218761) · Data from the CMS NPPES public registry.