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MONA GHIAS M.D.
NPI 1609220151
Internal Medicine in Jersey City, NJ

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
355 GRAND ST, JERSEY CITY, NJ 07302(201) 427-0753 Get Directions Write a Review

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

Record update history: Apr 8, 2022, Jan 10, 2021, Oct 22, 2020 and 1 more (4 updates tracked since 2020).

About Mona Ghias M.d. NPPES

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

MONA GHIAS M.D. (NPI 1609220151) is an individual internal medicine provider in Jersey City, New Jersey, licensed in West Virginia (28922) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609220151
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONA GHIASCredential: M.D.
Location Address355 GRAND STJersey City, NJ 07302-4321
Mailing Address9 Regent St Apt 303Jersey City, NJ 07302-7333 · (201) 427-0753
Phone(201) 427-0753
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 21, 2016
Last NPPES UpdateApril 8, 20224 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1609220151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 28922
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
355 GRAND ST, Jersey City, NJ 07302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mona Ghias 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 ID8022348986
PECOS Enrollment IDI20190919002563
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 7

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.
210 services94 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.
68 services43 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.
47 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
47 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
33 services33 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 4

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier17 claims17 services$913.94 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 suppliers19 claims19 services$103.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.06 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers20 claims20 services$24.27 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.

JERSEY CITY CRITICAL CARE ASSOCIATES
Specialist
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Hudson County (908) 806-8224
SHERIDAN ANESTHESIA SERVICES OF NEW JERSEY PC
Anesthesiology
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
SAIRA SHAH MD
Internal Medicine
355 GRAND ST, MEDICINE DEPT,3RD FLOOR
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
SUSAN E. O'BRIEN DO
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
DR. JARED SAUL KROK M.D.
Internal Medicine
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2431
ANIELLO SEMIOLI LSW
Social Worker
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 492-1296
SUMEETA BHOGAL MD
Student in an Organized Health Care Education/Training Program
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
LIBERTY EMERGENCY MEDICAL ASSOCIATES LLC
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER ( EMERGENCY DEPARTMENT)
JERSEY CITY, NJ 07302
Hudson County (469) 401-2386

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 Mona Ghias's NPI number?

The NPI number for Mona Ghias is 1609220151. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Mona Ghias located?

Mona Ghias practices at 355 Grand St, Jersey City, NJ 07302. The listed phone number is (201) 427-0753.

What is Mona Ghias's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mona Ghias enrolled in Medicare?

Yes. Mona Ghias 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 Mona Ghias accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Mona Ghias 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 Mona Ghias affiliated with any hospitals?

According to CMS data, Mona Ghias is affiliated with West Virginia University Hospitals, Inc and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mona Ghias was last updated on April 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.