NASIMUL GHANI MD
NPI 1558452565
Internal Medicine - Nephrology in Lincoln, NE

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
79.63/100
CMS Quality Rating
307 N 46TH ST, LINCOLN, NE 68503(402) 466-8259(866) 711-9035 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nasimul Ghani Md NPPES

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

NASIMUL GHANI MD (NPI 1558452565) is an individual nephrology provider in Lincoln, Nebraska, licensed in Nebraska (24672) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Healthalliance Hospital Marys Avenue Campus, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1558452565
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNASIMUL GHANICredential: MD
Location Address307 N 46TH STLincoln, NE 68503-3714
Mailing Address2000 16th StDenver, CO 80202-5117 · (303) 876-7243 · Fax (866) 917-5396
Fax(866) 711-9035
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
NPI 1558452565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NE · 24672
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
307 N 46TH ST, Lincoln, NE 68503

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

Nasimul Ghani 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 ID8921031014
PECOS Enrollment IDI20050919000473, I20220428001362
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 10

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.
446 services114 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.
106 services95 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.
75 services39 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
58 services14 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.
51 services23 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.
27 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Margaretville Memorial Hospital

Critical Access Hospitals · Margaretville, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331304
Location42084 State Highway 28Margaretville, NY 12455 · Delaware County
Emergency services

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68503 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Promoting Interoperability78
Improvement Activities40
Cost74.42

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers33 claims3,885 services$0.31 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers29 claims5,940 services$1.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers39 claims39 services$17.03 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers57 claims60 services$12.25 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 15

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

Day Training/Habilitation Specialist
307 N 46TH ST
LINCOLN, NE 68503
Day Training/Habilitation Specialist
307 N 46TH ST
LINCOLN, NE 68503
Day Training/Habilitation Specialist
307 N 46TH ST
LINCOLN, NE 68503
Day Training/Habilitation Specialist
307 N 46TH ST
LINCOLN, NE 68503
Day Training/Habilitation Specialist
307 N 46TH ST
LINCOLN, NE 68503
Day Training/Habilitation Specialist
307 N 46TH ST
LINCOLN, NE 68503
Day Training/Habilitation Specialist
307 N 46TH ST
LINCOLN, NE 68503
Internal Medicine (Nephrology)
307 N 46TH ST
LINCOLN, NE 68503

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 Nasimul Ghani's NPI number?

The NPI number for Nasimul Ghani is 1558452565. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Nasimul Ghani located?

Nasimul Ghani practices at 307 N 46th St, Lincoln, NE 68503. The listed phone number is (402) 466-8259.

What is Nasimul Ghani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nasimul Ghani enrolled in Medicare?

Yes. Nasimul 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 Nasimul Ghani accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Nasimul 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 Nasimul Ghani affiliated with any hospitals?

According to CMS data, Nasimul Ghani is affiliated with Healthalliance Hospital Marys Avenue Campus, Westchester Medical Center, Margaretville Memorial Hospital and Chi St Alexius Health.

When was this NPI record last updated?

The NPPES record for Nasimul Ghani was last updated on November 1, 2021. 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.