AL MAMON ABU GHANIMAH MD
NPI 1417239013
Hospitalist in Topeka, KS

Q: What is Al Mamon Abu Ghanimah's NPI number?

The NPI number for Al Mamon Abu Ghanimah is 1417239013. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Q: What is Al Mamon Abu Ghanimah's specialty?

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

Active since September 09, 2011PECOS EnrolledAccepts Medicare Assignment

1500 SW 10TH AVE, TOPEKA, KS 66604(785) 354-5242 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Dec 2, 2024, Jan 27, 2023 and 2 more (5 updates tracked since 2022).

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About Al Mamon Abu Ghanimah Md NPPES

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

AL MAMON ABU GHANIMAH MD (NPI 1417239013) is an individual hospitalist provider in Topeka, Kansas, licensed in Kansas (04-37184) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and maintains a secondary practice location in Junction City.

NPPES Registry Identity

NPI1417239013

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameAL MAMON ABU GHANIMAHCredential: MD

Location Address1500 SW 10TH AVETopeka, KS 66604-1301

Mailing Address1500 Sw 10th AveTopeka, KS 66604-1301 · (785) 354-5242

Phone(785) 354-5242

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 9, 2011

Last NPPES UpdateDecember 4, 20255 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1417239013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in KS · 04-37184

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.

1500 SW 10TH AVE, Topeka, KS 66604

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Secondary Practice Location 1

Location 11102 Saint Marys RdJunction City, KS 66441-4139 · Phone (785) 238-0325

Other Identifiers 3

Medicaid30004272600001KS

Medicaid201100090AKS

Other068002266KS · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

Al Mamon Abu Ghanimah 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 ID5395963714

PECOS Enrollment IDI20140827001104

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.

Medicare Billing Reassignments

Medicare enrollment records show Al Mamon Abu Ghanimah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cotton-O'neil Clinic Revocable Trust

0.2 mi

Internal Medicine

901 SW GARFIELD AVE
Topeka, KS 66606

Reassigned Medicare billing, Kansas enrollment
854 clinicians in this Medicare group

NPI 1811944457 (785) 354-9591

Stormont Vail Health Flint Hills LLC

62 mi

Emergency Medicine

1102 SAINT MARYS RD
Junction City, KS 66441

Reassigned Medicare billing, Kansas enrollment
208 clinicians in this Medicare group

NPI 1447968128 (785) 210-3303

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 8

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.

799 services258 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.

219 services217 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.

198 services119 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.

197 services195 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.

135 services70 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.

41 services26 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Kansas Health System - St Francis Campus

Acute Care Hospitals · Topeka, KS

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170016

Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County

Emergency services Birthing friendly

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170086

Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County

Emergency services Birthing friendly

Ascension Via Christi Hospital Manhattan, Inc

Acute Care Hospitals · Manhattan, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170142

Location1823 College AveManhattan, KS 66502 · Riley County

Emergency services Birthing friendly

Clay County Medical Center

Critical Access Hospitals · Clay Center, KS

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number171371

Location617 LibertyClay Center, KS 67432 · Clay County

Emergency services

Coffey County Hospital

Critical Access Hospitals · Burlington, KS

OwnershipGovernment - Local

CMS Certification Number171385

Location801 N Fourth StreetBurlington, KS 66839 · Coffey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66604 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 5

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

1 supplier17 claims17 services$16.88 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.67 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 suppliers29 claims29 services$80.61 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$41.90 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.

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