MEDHAT GHALY M.D.
NPI 1407218761
Hospitalist in Waterbury, CT

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
160 ROBBINS ST, CHASE OUTPATIENT CENTER, WATERBURY, CT 06708(203) 573-7284(203) 573-7031 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 13, 2020, May 31, 2019, Mar 25, 2016 (3 updates tracked since 2016).

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

NPI1407218761
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMEDHAT GHALYCredential: M.D.
Location Address160 ROBBINS ST, CHASE OUTPATIENT CENTERWaterbury, CT 06708-2652
Mailing Address64 Robbins St, Waterbury HospitalWaterbury, CT 06708-2613 · (203) 573-6162 · Fax (203) 573-6707
Fax(203) 573-7031
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 25, 2016
Last NPPES UpdateJanuary 18, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1407218761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CT · 061928
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 61928 (CT)
160 ROBBINS ST, Waterbury, CT 06708

Secondary Practice Location 1

Location 1263 Farmington AveFarmington, CT 06030-0001 · Phone (860) 679-2000

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

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.

PECOS PAC ID9931494184
PECOS Enrollment IDI20240130003507
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 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.

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.
235 services96 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.
88 services87 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.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

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.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims47 services$6.01 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.

Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Pediatrics
160 ROBBINS ST
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Internal Medicine (Pulmonary Disease)
160 ROBBINS ST
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Pediatrics
160 ROBBINS ST
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.

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.