DR. MOHAMED A GANNI D.M.D.
NPI 1679679666
Dentist - Oral and Maxillofacial Surgery in Beaumont, TX

Q: What is Mohamed Ganni's NPI number?

The NPI number for Mohamed Ganni is 1679679666. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Mohamed Ganni's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Mohamed Ganni enrolled in Medicare?

No. Mohamed Ganni has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mohamed Ganni was last updated on August 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 16, 2006Opted out of Medicare · through Jan 1, 2028

3302 MCFADDIN ST, SUITE 4, BEAUMONT, TX 77706(409) 838-4200 Get Directions Write a Review

NPPES record last updated: August 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mohamed A Ganni D.m.d. NPPES

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

DR. MOHAMED A GANNI D.M.D. (NPI 1679679666) is an individual oral and maxillofacial surgery provider in Beaumont, Texas, licensed in Texas (24769) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679679666

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MOHAMED A GANNICredential: D.M.D.

Location Address3302 MCFADDIN ST, SUITE 4Beaumont, TX 77706-5038

Mailing Address3302 Mcfaddin St, Suite 4Beaumont, TX 77706-5038 · (409) 838-4200

Phone(409) 838-4200

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateAugust 7, 2009

✔ NPI 1679679666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in TX · 24769✔ Licensed in NY · 051852

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3302 MCFADDIN ST, Beaumont, TX 77706

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mohamed A Ganni D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77706 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

$83.80 typical visit price

range $54.04 – $164.93

Typical copayment $20.95 (range $13.51 – $41.23)

Most-billed visit code 99203

Established Patient

$67.64 typical visit price

range $17.17 – $134.47

Typical copayment $16.91 (range $4.29 – $33.61)

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.

Other Providers at the Same Location NPPES 2

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

GULF COAST MEDICAL EVALUATIONS

Chiropractor (Occupational Health)

3302 MCFADDIN ST, SUITE 3
BEAUMONT, TX 77706

Jefferson County (832) 754-7397

R.M.PHILLIPS, D.M.D. AND J.R.LAUGHLIN,D.M.D., INC.

Dentist (Oral and Maxillofacial Surgery)

3302 MCFADDIN ST
BEAUMONT, TX 77706

Jefferson County (409) 838-4200

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 Mohamed Ganni's NPI number?

The NPI number for Mohamed Ganni is 1679679666. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Mohamed Ganni located?

Mohamed Ganni practices at 3302 Mcfaddin St Suite 4, Beaumont, TX 77706. The listed phone number is (409) 838-4200.

What is Mohamed Ganni's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mohamed Ganni enrolled in Medicare?

No. Mohamed Ganni has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mohamed Ganni was last updated on August 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.