HIBA T GHANI M.D
NPI 1508144171
Family Medicine in Southfield, MI

Active since July 29, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
28411 NORTHWESTERN HWY, SUITE 1050, SOUTHFIELD, MI 48034(248) 354-4709(248) 354-4807 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hiba T Ghani M.d NPPES

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

HIBA T GHANI M.D (NPI 1508144171) is an individual family medicine provider in Southfield, Michigan, licensed in Michigan (4301099533) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1508144171
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHIBA T GHANICredential: M.D
Location Address28411 NORTHWESTERN HWY, SUITE 1050Southfield, MI 48034-5544
Mailing Address28411 Northwestern Hwy, Suite 1050Southfield, MI 48034-5544 · (248) 354-4709 · Fax (248) 354-4807
Fax(248) 354-4807
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 29, 2011
Last NPPES UpdateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
NPI 1508144171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301099533
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License ME131368 (FL)
28411 NORTHWESTERN HWY, Southfield, MI 48034

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

Hiba T Ghani 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 ID8325278385
PECOS Enrollment IDI20170525002740
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 5

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.
421 services170 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.
175 services166 patients
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.
167 services118 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.
49 services49 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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
2 suppliers71 claims71 services$14.42 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$903.25 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
3 suppliers106 claims106 services$67.77 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$29.64 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier30 claims30 services$16.69 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 16

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

Internal Medicine
28411 NORTHWESTERN HWY, SUITE 1050
SOUTHFIELD, MI 48034
Internal Medicine
28411 NORTHWESTERN HWY, SUITE 1050
SOUTHFIELD, MI 48034
Dentist (Endodontics)
28411 NORTHWESTERN HWY, SUITE 230
SOUTHFIELD, MI 48034
Internal Medicine
28411 NORTHWESTERN HWY, SUITE 1050
SOUTHFIELD, MI 48034
Internal Medicine
28411 NORTHWESTERN HWY, SUITE 1050
SOUTHFIELD, MI 48034
Internal Medicine
28411 NORTHWESTERN HWY, SUITE 1050
SOUTHFIELD, MI 48034
Internal Medicine
28411 NORTHWESTERN HWY, SUITE 1050
SOUTHFIELD, MI 48034
Internal Medicine (Critical Care Medicine)
28411 NORTHWESTERN HWY, SUITE 1050
SOUTHFIELD, MI 48034

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 Hiba Ghani's NPI number?

The NPI number for Hiba Ghani is 1508144171. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Where is Hiba Ghani located?

Hiba Ghani practices at 28411 Northwestern Hwy Suite 1050, Southfield, MI 48034. The listed phone number is (248) 354-4709.

What is Hiba Ghani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hiba Ghani enrolled in Medicare?

Yes. Hiba Ghani 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 Hiba Ghani accept?

Health plans from Molina Healthcare list Hiba Ghani 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 Hiba Ghani affiliated with any hospitals?

According to CMS data, Hiba Ghani is affiliated with Ascension St Vincent's Riverside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Hiba Ghani was last updated on October 20, 2023. 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.