DR. NICOLAS GHANEM MD
NPI 1427781160
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since July 08, 2022PECOS Enrolled
4300 W MARKHAM ST # 782, LITTLE ROCK, AR 72205(501) 686-7249 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicolas Ghanem Md NPPES

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

DR. NICOLAS GHANEM MD (NPI 1427781160) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427781160
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NICOLAS GHANEMCredential: MD
Location Address4300 W MARKHAM ST # 782Little Rock, AR 72205-4024
Mailing Address600 Hardin Rd Rm 204Little Rock, AR 72211-3504 · (501) 590-5933
Sole ProprietorYes
Enumeration DateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
NPI 1427781160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4300 W MARKHAM ST # 782, Little Rock, AR 72205

Other Names 1

Other Name (5)Dr. Nadim-nicolas Ghanem Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicolas Ghanem Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Nicolas Ghanem's NPI number?

The NPI number for Nicolas Ghanem is 1427781160. It was assigned to this individual provider in the NPPES registry on July 8, 2022. The provider is also known as Dr. Nadim-Nicolas Ghanem MD.

Where is Nicolas Ghanem located?

Nicolas Ghanem practices at 4300 W Markham St # 782, Little Rock, AR 72205. The listed phone number is (501) 686-7249.

What is Nicolas Ghanem's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicolas Ghanem enrolled in Medicare?

Yes. Nicolas Ghanem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicolas Ghanem was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.