DR. NAMAN A GHAZAL-ALBAR MD
NPI 1639144785
Internal Medicine in O Fallon, MO

Q: What is Naman Ghazal-albar's NPI number?

The NPI number for Naman Ghazal-albar is 1639144785. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Naman Ghazal-albar's specialty?

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

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment

5551 WINGHAVEN BLVD, SUITE 260, O FALLON, MO 63368(636) 200-3811(636) 200-3812 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Sep 12, 2025, Aug 19, 2019 and 1 more (4 updates tracked since 2016).

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About Dr. Naman A Ghazal-albar Md NPPES

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

DR. NAMAN A GHAZAL-ALBAR MD (NPI 1639144785) is an individual internal medicine provider in O Fallon, Missouri, licensed in Missouri (109210) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1639144785

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. NAMAN A GHAZAL-ALBARCredential: MD

Location Address5551 WINGHAVEN BLVD, SUITE 260O Fallon, MO 63368-3617

Mailing AddressPo Box 652Chesterfield, MO 63006-0652 · (314) 432-2580 · Fax (314) 432-0223

Phone(636) 200-3811

Fax(636) 200-3812

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateFebruary 22, 2006

Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1639144785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 109210

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 ListedSpecialistTaxonomy 174400000X · License 109210 (MO)

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 109210 (MO)

5551 WINGHAVEN BLVD, O Fallon, MO 63368

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Secondary Practice Locations 8

Location 1401 Corporate Park DrClayton, MO 63105-4201 · Phone (636) 288-4149

Location 210 Hospital Dr Fl 3Saint Peters, MO 63376-1659 · Phone (636) 288-4149

Location 3300 1st Capitol DrSaint Charles, MO 63301-2844 · Phone (636) 947-5000 · Fax (636) 947-5090

Location 4998 Woods Mill RdBallwin, MO 63011-5101 · Phone (636) 288-4149

Location 511160 Village North DrJennings, MO 63136-6159 · Phone (636) 288-4149

Location 65400 Executive Centre PkwySaint Peters, MO 63376-2594 · Phone (636) 288-4149

Location 74455 Duncan AveSaint Louis, MO 63110-1111 · Phone (636) 288-4149

Location 8100 Medical PlzLake St Louis, MO 63367-1366 · Phone (636) 625-5200 · Fax (636) 625-5314

Other Identifiers 6

Other1438049MO · United Health Care

Medicaid205305907MO

Other25817MO · Blue Cross Blue Shield

Other142736MO · Ghp

Other277909MO · Healthlink

Other82580MO · Ghp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Naman A Ghazal-albar 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 ID7113970559

PECOS Enrollment IDI20050225000549

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 6

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.

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.

182 services90 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.

95 services94 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.

76 services74 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.

71 services49 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

23 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260005

Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County

Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260179

Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County

Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Ste Genevieve County Memorial Hospital

Critical Access Hospitals · Sainte Genevieve, MO

OwnershipGovernment - Hospital District or Authority

CMS Certification Number261330

Location800 Ste Genevieve Drive, PO Box 468Sainte Genevieve, MO 63670 · Ste. Genevieve County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%103 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

32 suppliers78 claims267 services$6.21 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers27 claims50 services$1.08 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

3 suppliers13 claims1,420 services$6.60 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

12 suppliers184 claims185 services$179.57 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 17

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

FOREFRONT DERMATOLOGY, S.C.

Dermatology

5551 WINGHAVEN BLVD, SUITE 210
O FALLON, MO 63368

St. Charles County (920) 663-9016

DR. VAN A HARGRAVES MD

Family Medicine

5551 WINGHAVEN BLVD, SUITE 142
O FALLON, MO 63368

St. Charles County (636) 695-2510

DR. PHANN D VU D.P.M.

Podiatrist

5551 WINGHAVEN BLVD, STE 280
O FALLON, MO 63368

St. Charles County (636) 695-4343

LORI PAYNE

Nurse Practitioner (Pediatrics)

5551 WINGHAVEN BLVD, SUITE 240
O FALLON, MO 63368

St. Charles County (636) 561-5561

JENNA A SANDERS ANP-C

Nurse Practitioner (Adult Health)

5551 WINGHAVEN BLVD, STE 290
O FALLON, MO 63368

St. Charles County (636) 695-2575

ARDIS K ALLISON DO

Pediatrics

5551 WINGHAVEN BLVD, SUITE 240
O'FALLON, MO 63368

St. Charles County (636) 561-5561

DR. GARY D GRAY MD

Internal Medicine

5551 WINGHAVEN BLVD, STE 290
O FALLON, MO 63368

St. Charles County (636) 695-2575

ALEXANDER M BOLLIS M.D.

Internal Medicine (Cardiovascular Disease)

5551 WINGHAVEN BLVD, SUITE 132
O FALLON, MO 63368

St. Charles County (636) 695-2514

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 Naman Ghazal-albar's NPI number?

The NPI number for Naman Ghazal-albar is 1639144785. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Naman Ghazal-albar located?

Naman Ghazal-albar practices at 5551 Winghaven Blvd Suite 260, O Fallon, MO 63368. The listed phone number is (636) 200-3811.

What is Naman Ghazal-albar's specialty?

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

Is Naman Ghazal-albar enrolled in Medicare?

Yes. Naman Ghazal-albar 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 Naman Ghazal-albar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Naman Ghazal-albar 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 Naman Ghazal-albar affiliated with any hospitals?

According to CMS data, Naman Ghazal-albar is affiliated with Blessing Hospital, Ssm St Joseph Health Center, St Lukes Hospital, Ssm St Joseph Hospital West and Ste Genevieve County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Naman Ghazal-albar was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.