DR. MALIK YA GHANNAM MD
NPI 1669995528
Psychiatry & Neurology - Vascular Neurology in Des Moines, IA

Active since July 24, 2017PECOS EnrolledAccepts Medicare Assignment
1111 6TH AVE STE A100, DES MOINES, IA 50314(515) 358-0011(515) 358-0099 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2025, May 15, 2025, Aug 28, 2023 and 3 more (6 updates tracked since 2017).

About Dr. Malik Ya Ghannam Md NPPES

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

DR. MALIK YA GHANNAM MD (NPI 1669995528) is an individual vascular neurology provider in Des Moines, Iowa, licensed in Iowa (MD-48454) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1669995528
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. MALIK YA GHANNAMCredential: MD
Location Address1111 6TH AVE STE A100Des Moines, IA 50314-2610
Mailing AddressPo Box 674721Dallas, TX 75267-4721 · (515) 358-0011 · Fax (515) 358-0099
Fax(515) 358-0099
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 24, 2017
Last NPPES UpdateSeptember 17, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1669995528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses✔ Licensed in IA · MD-48454✔ Licensed in WI · 13474
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License MD-48454 (IA)
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License MD-48454 (IA)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 28818 (MN), MD-48454 (IA), 2025-00068 (NC)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License MD-48454 (IA)
1111 6TH AVE STE A100, Des Moines, IA 50314

Secondary Practice Locations 4

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 735-7645 · Fax (920) 735-7618
Location 2200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 356-2572 · Fax (319) 356-4505
Location 3210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000
Location 4701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-2952 · Fax (319) 356-3949

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Malik Ya Ghannam 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 ID9436423696
PECOS Enrollment IDI20230717001729, I20250203003254, I20250210003029, I20250304000000, I20250307003278, I20250804002240, I20260217002030, I20260501002835, I20260508002036
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.

Medicare Billing Reassignments

21

Medicare enrollment records show Malik Ghannam reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Neurology
1111 6TH AVE, EAST TOWER SUITE A100
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 516 clinicians in this Medicare group
Family Medicine
616 10TH ST
Perry, IA 50220
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
Family Medicine
1229 C AVE E
Oskaloosa, IA 52577
  • Reassigned Medicare billing, Iowa enrollment
  • 113 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Iowa enrollment
  • 3 clinicians in this Medicare group
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Iowa enrollment
  • 5 clinicians in this Medicare group
General Practice
150 W HIGH ST
Morris, IL 60450
  • Reassigned Medicare billing, Illinois enrollment
  • 207 clinicians in this Medicare group
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 3 clinicians in this Medicare group
Family Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 212 clinicians in this Medicare group
Family Medicine
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Iowa and Wisconsin enrollments

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
137 services68 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
55 services40 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.
35 services35 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.
33 services26 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.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161377
LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County
Emergency services

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Neurology)
1111 6TH AVE STE A100
DES MOINES, IA 50314
Nurse Practitioner (Gerontology)
1111 6TH AVE STE A100
DES MOINES, IA 50314
Nurse Practitioner
1111 6TH AVE STE A100
DES MOINES, IA 50314
Nurse Practitioner
1111 6TH AVE STE A100
DES MOINES, IA 50314
Physician Assistant
1111 6TH AVE STE A100
DES MOINES, IA 50314
Psychiatry & Neurology (Neurology)
1111 6TH AVE STE A100
DES MOINES, IA 50314
Psychiatry & Neurology (Neurology)
1111 6TH AVE STE A100
DES MOINES, IA 50314
Nurse Practitioner
1111 6TH AVE STE A100
DES MOINES, IA 50314

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 Malik Ghannam's NPI number?

The NPI number for Malik Ghannam is 1669995528. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Malik Ghannam located?

Malik Ghannam practices at 1111 6th Ave Ste A100, Des Moines, IA 50314. The listed phone number is (515) 358-0011.

What is Malik Ghannam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Malik Ghannam enrolled in Medicare?

Yes. Malik Ghannam 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.

Which organizations bill Medicare for Malik Ghannam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malik Ghannam reassigns Medicare benefits to 21 organizations: Mercy Clinics, Inc (Des Moines, IA), State University Of Iowa (Perry, IA), Mahaska County Hospital (Oskaloosa, IA), Osf Multi-Specialty Group (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL) and 16 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Malik Ghannam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Malik Ghannam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Kansas, Inc. and 8 other insurers list Malik Ghannam 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 Malik Ghannam affiliated with any hospitals?

According to CMS data, Malik Ghannam is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, Mercyone Des Moines Medical Center, Mercyone Centerville Medical Center, Presbyterian Hospital and Plains Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Malik Ghannam was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.