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SAMA GHALI MD
NPI 1720309859
Emergency Medicine in Lexington, KY

Active since June 11, 2010PECOS Enrolled
81.9/100
CMS Quality Rating
1000 SOUTH LIMESTONE STREET, LEXINGTON, KY 40536(859) 323-5908 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sama Ghali Md NPPES

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

SAMA GHALI MD (NPI 1720309859) is an individual emergency medicine provider in Lexington, Kentucky, licensed in North Carolina (2013-01193) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720309859
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSAMA GHALICredential: MD
Location Address1000 SOUTH LIMESTONE STREETLexington, KY 40536
Mailing Address800 Rose St Rm M53Lexington, KY 40536-0001
Phone(859) 323-5908
Sole ProprietorNo
Enumeration DateJune 11, 2010
Last NPPES UpdateJuly 30, 2014
✔ NPI 1720309859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NC · 2013-01193✔ Licensed in OH · 35.120391✔ Licensed in KY · TP945
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 SOUTH LIMESTONE STREET, Lexington, KY 40536
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Other Identifiers 3

MedicaidNC1896SC
Medicare PINNCD723ANC
Medicaid1720309859NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sama Ghali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sama Ghali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians, Inc.
536 mi
Family Medicine
851042 US HIGHWAY 17, UFJP YULEE FAMILY PRACTICE
Yulee, FL 32097
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1104086479 (Florida)
  • 573 clinicians in this Medicare group
NPI 1518126168 (904) 633-0670

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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
62 services61 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services49 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.
32 services32 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

ADAM M TRAUGOTT DNP, ACNP
Nurse Practitioner (Acute Care)
1000 SOUTH LIMESTONE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-3264
DR. DANNY O'SHEA HUDSPETH II PHARMD
Pharmacist (Ambulatory Care)
1000 SOUTH LIMESTONE STREET
LEXINGTON, KY 40536
Fayette County (859) 218-3340

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 Sama Ghali's NPI number?

The NPI number for Sama Ghali is 1720309859. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Sama Ghali located?

Sama Ghali practices at 1000 South Limestone Street, Lexington, KY 40536. The listed phone number is (859) 323-5908.

What is Sama Ghali's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sama Ghali enrolled in Medicare?

Yes. Sama Ghali is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sama Ghali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sama Ghali reassigns Medicare benefits to University Of Florida Jacksonville Physicians, Inc. (Yulee, FL). The 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 Sama Ghali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sama Ghali was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.