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DR. ABDUL GHANI MD
NPI 1699711341
Internal Medicine in Zephyrhills, FL

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
5821 GALL BLVD, ZEPHYRHILLS, FL 33542(813) 788-5524(813) 780-6472 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Abdul Ghani Md NPPES

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

DR. ABDUL GHANI MD (NPI 1699711341) is an individual internal medicine provider in Zephyrhills, Florida, licensed in Florida (ME26500) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1699711341
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ABDUL GHANICredential: MD
Location Address5821 GALL BLVDZephyrhills, FL 33542-3455
Mailing Address5821 Gall BlvdZephyrhills, FL 33542-3455 · (813) 788-5524 · Fax (813) 780-6472
Phone(813) 788-5524
Fax(813) 780-6472
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateJune 21, 2006
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1699711341 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 FL · ME26500
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 ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License ME0026500 (FL)
5821 GALL BLVD, Zephyrhills, FL 33542
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Other Identifiers 1

Medicaid057095800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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. Abdul Ghani 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 ID2668630310
PECOS Enrollment IDI20120227000342
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.
195 services86 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
126 services62 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
82 services47 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.
79 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 5

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

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers11 claims280 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims47 services$4.34 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers17 claims17 services$3.28 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
1 supplier23 claims23 services$59.27 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
6 suppliers42 claims42 services$197.48 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

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

MIDTOWN CLINIC, PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5821 GALL BLVD
ZEPHYRHILLS, FL 33542
Pasco County (813) 788-5524

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 Abdul Ghani's NPI number?

The NPI number for Abdul Ghani is 1699711341. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Abdul Ghani located?

Abdul Ghani practices at 5821 Gall Blvd, Zephyrhills, FL 33542. The listed phone number is (813) 788-5524.

What is Abdul Ghani's specialty?

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

Is Abdul Ghani enrolled in Medicare?

Yes. Abdul Ghani 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 Abdul Ghani accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list Abdul Ghani 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 Abdul Ghani affiliated with any hospitals?

According to CMS data, Abdul Ghani is affiliated with Florida Hospital Zephyrhills.

When was this NPI record last updated?

The NPPES record for Abdul Ghani was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.