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AALIA FATHIMA MOHAMED GHOUSE MD
NPI 1720568728
Internal Medicine in Skowhegan, ME

Active since August 19, 2018PECOS EnrolledAccepts Medicare Assignment
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976(207) 474-5121(207) 858-2415 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Nov 18, 2021, Jul 15, 2021 and 2 more (5 updates tracked since 2018).

About Aalia Fathima Mohamed Ghouse Md NPPES

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

AALIA FATHIMA MOHAMED GHOUSE MD (NPI 1720568728) is an individual internal medicine provider in Skowhegan, Maine, licensed in Massachusetts (291422) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720568728
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAALIA FATHIMA MOHAMED GHOUSECredential: MD
Location Address46 FAIRVIEW AVESkowhegan, ME 04976-1481
Mailing Address295 Varnum AveLowell, MA 01854-2134 · (978) 937-6439
Phone(207) 474-5121
Fax(207) 858-2415
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 19, 2018
Last NPPES UpdateJune 8, 20225 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1720568728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 291422
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.
46 FAIRVIEW AVE, Skowhegan, ME 04976
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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

Aalia Fathima Mohamed Ghouse 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 ID7911251145
PECOS Enrollment IDI20220420001669
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 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.

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.
451 services195 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
83 services79 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.
77 services57 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.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04976 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

LAURA GURENLIAN DO
Emergency Medicine
46 FAIRVIEW AVE
SKOWHEGAN, ME 04976
Somerset County (207) 474-5121
JULIA MEADE RN, BSN
Registered Nurse
46 FAIRVIEW AVE
SKOWHEGAN, ME 04976
Somerset County (207) 474-5121
ALI M WARD
Registered Nurse (Medical-Surgical)
46 FAIRVIEW AVE
SKOWHEGAN, ME 04976
Somerset County (207) 858-2414
DR. JESSICA PEREZ M.D.
Emergency Medicine
46 FAIRVIEW AVE
SKOWHEGAN, ME 04976
Somerset County (207) 474-5121
DR. DONALD W ZARFOS M.D.
Emergency Medicine
46 FAIRVIEW AVE
SKOWHEGAN, ME 04976
Somerset County (207) 474-5121
KARISSA A FAHNESTOCK PA-C
Physician Assistant
46 FAIRVIEW AVE, SUITE 114
SKOWHEGAN, ME 04976
Somerset County (207) 474-6943
BENJAMIN WILLIAMS PA
Physician Assistant
46 FAIRVIEW AVE
SKOWHEGAN, ME 04976
Somerset County (207) 474-5121
NANCY E FLEMING MD
Emergency Medicine
46 FAIRVIEW AVE
SKOWHEGAN, ME 04976
Somerset County (207) 474-5121

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 Aalia Fathima Mohamed Ghouse's NPI number?

The NPI number for Aalia Fathima Mohamed Ghouse is 1720568728. It was assigned to this individual provider in the NPPES registry on August 19, 2018.

Where is Aalia Fathima Mohamed Ghouse located?

Aalia Fathima Mohamed Ghouse practices at 46 Fairview Ave, Skowhegan, ME 04976. The listed phone number is (207) 474-5121.

What is Aalia Fathima Mohamed Ghouse's specialty?

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

Is Aalia Fathima Mohamed Ghouse enrolled in Medicare?

Yes. Aalia Fathima Mohamed Ghouse 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.

Is Aalia Fathima Mohamed Ghouse affiliated with any hospitals?

According to CMS data, Aalia Fathima Mohamed Ghouse is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Aalia Fathima Mohamed Ghouse was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.