REHAM GHALI PA-C
NPI 1639618226
Physician Assistant in Raleigh, NC

Active since February 16, 2017PECOS EnrolledAccepts Medicare Assignment
87.2/100
CMS Quality Rating
1540 SUNDAY DR, RALEIGH, NC 27607(919) 782-3456(919) 783-1441 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2021, Feb 16, 2017 (2 updates tracked since 2017).

About Reham Ghali Pa-c NPPES

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

REHAM GHALI PA-C (NPI 1639618226) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-07068) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639618226
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameREHAM GHALICredential: PA-C
Location Address1540 SUNDAY DRRaleigh, NC 27607-6010
Mailing Address1540 Sunday DrRaleigh, NC 27607-6010 · (919) 782-3456 · Fax (919) 783-1441
Fax(919) 783-1441
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 16, 2017
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1639618226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-07068
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1540 SUNDAY DR, Raleigh, NC 27607

Other Identifiers 1

Other0010-07068NC · Nc Medical Board License

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

Reham Ghali Pa-c 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 ID1759667645
PECOS Enrollment IDI20170406003175
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 2

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.
359 services256 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.
144 services112 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.93
Promoting Interoperability100
Improvement Activities40
Cost93.42

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.

Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physician Assistant
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Nurse Practitioner (Family)
1540 SUNDAY DR
RALEIGH, NC 27607

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 Reham Ghali's NPI number?

The NPI number for Reham Ghali is 1639618226. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Where is Reham Ghali located?

Reham Ghali practices at 1540 Sunday Dr, Raleigh, NC 27607. The listed phone number is (919) 782-3456.

What is Reham Ghali's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Reham Ghali enrolled in Medicare?

Yes. Reham Ghali 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 Reham Ghali accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Reham Ghali 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 Reham Ghali affiliated with any hospitals?

According to CMS data, Reham Ghali is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Reham Ghali was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.