GEORGES B GHAFARI MD
NPI 1699725606
Internal Medicine - Cardiovascular Disease in St Clair Shores, MI

Q: What is Georges Ghafari's NPI number?

The NPI number for Georges Ghafari is 1699725606. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Georges Ghafari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Georges Ghafari was last updated on September 6, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment

84.05/100

CMS Quality Rating

24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080(586) 498-0440(586) 498-0401 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Georges B Ghafari Md NPPES

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

GEORGES B GHAFARI MD (NPI 1699725606) is an individual cardiovascular disease provider in St Clair Shores, Michigan, licensed in Michigan (4301407083) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Wayne State University School Of Medicine (1986).

NPPES Registry Identity

NPI1699725606

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameGEORGES B GHAFARICredential: MD

Location Address24211 LITTLE MACK AVESt Clair Shores, MI 48080-1190

Mailing Address24211 Little Mack AveSt Clair Shores, MI 48080-1190 · (586) 498-0440 · Fax (586) 498-0401

Phone(586) 498-0440

Fax(586) 498-0401

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1986

Enumeration DateMay 11, 2006

Last NPPES UpdateSeptember 6, 2007

✔ NPI 1699725606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MI · 4301407083

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

24211 LITTLE MACK AVE, St Clair Shores, MI 48080

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Other Identifiers 3

Medicaid3380370MI

Other10MI · 10

Medicare UPINF28185MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Georges B Ghafari 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 ID2567350069

PECOS Enrollment IDI20080410000575, I20251103001281

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 19

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.

463 services355 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.

398 services150 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.

311 services280 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

240 services24 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

239 services219 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

156 services39 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

92 services46 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 services71 patients

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.

73 services22 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

67 services66 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.

65 services61 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

62 services62 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

46 services46 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

46 services46 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.

30 services30 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

26 services25 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

26 services26 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

17 services13 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Kimball Health Services

Critical Access Hospitals · Kimball, NE

OwnershipGovernment - Local

CMS Certification Number281305

Location255 W 4th StKimball, NE 69145 · Kimball County

Emergency services

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number530014

Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

84.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.13

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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Other Providers at the Same Location NPPES 15

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

ZAID KASMIKHA D.O.

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

DR. GEORGE B GHANEM MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

THOMAS PATRICK DAVIS MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

DR. DAVID JOSE RODRIGUEZ M.D.

Internal Medicine (Interventional Cardiology)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

THOMAS ALEXANDER LALONDE MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

MARC OLIVER GOSSELIN DO

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

RUDY J VERVAEKE MD PLC

Internal Medicine (Addiction Medicine)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 775-7400

DR. DOMENIC G GROSSO D.O.

Student in an Organized Health Care Education/Training Program

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

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 Georges Ghafari's NPI number?

The NPI number for Georges Ghafari is 1699725606. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Georges Ghafari located?

Georges Ghafari practices at 24211 Little Mack Ave, St Clair Shores, MI 48080. The listed phone number is (586) 498-0440.

What is Georges Ghafari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Georges Ghafari enrolled in Medicare?

Yes. Georges Ghafari 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 Georges Ghafari accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Georges Ghafari 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 Georges Ghafari affiliated with any hospitals?

According to CMS data, Georges Ghafari is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital, Troy, Kimball Health Services and Cheyenne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Georges Ghafari was last updated on September 6, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.