BADER ABU GHALYOUN MD
NPI 1740492214
Internal Medicine - Interventional Cardiology in Stockton, CA

Q: What is Bader Abu Ghalyoun's NPI number?

The NPI number for Bader Abu Ghalyoun is 1740492214. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Q: What is Bader Abu Ghalyoun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

1801 E MARCH LN, STOCKTON, CA 95210(209) 464-3615 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bader Abu Ghalyoun Md NPPES

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

BADER ABU GHALYOUN MD (NPI 1740492214) is an individual interventional cardiology provider in Stockton, California, licensed in California (C169074) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1740492214

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameBADER ABU GHALYOUNCredential: MD

Location Address1801 E MARCH LNStockton, CA 95210-6629

Mailing Address1801 E March Ln Ste D400Stockton, CA 95210-6675 · (209) 464-3615 · Fax (209) 464-1537

Phone(209) 464-3615

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 4, 2007

Last NPPES UpdateJune 25, 2020

NPPES CertifiedJune 25, 2020

✔ NPI 1740492214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in CA · C169074

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 24179 (WV)

Also ListedHospitalistTaxonomy 208M00000X · License 24179 (WV)

1801 E MARCH LN, Stockton, CA 95210

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Secondary Practice Location 1

Location 13200 MacCorkle Ave SE, Hospitalists ProgramCharleston, WV 25304-1227 · Phone (304) 388-5848 · Fax (304) 388-9654

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bader Abu Ghalyoun 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 ID9830284165

PECOS Enrollment IDI20200716003156

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 Reassignments

Medicare enrollment records show Bader Abu Ghalyoun reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health Physicians Network

Same address

Cardiovascular Disease

1801 E MARCH LN STE D400
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
678 clinicians in this Medicare group

NPI 1457931081 (209) 464-3615

Lodi Memorial Hospital Association, Inc

5.6 mi

Primary Care

10200 TRINITY PARKWAY, SUITE 102
Stockton, CA 95219

Reassigned Medicare billing, California enrollment
221 clinicians in this Medicare group

NPI 1982860995 (209) 948-0808

Delta Radiology, Inc.

8.0 mi

Specialist

975 S FAIRMONT AVE
Lodi, CA 95240

Reassigned Medicare billing, California enrollment
34 clinicians in this Medicare group

NPI 1881728327 (209) 334-3411

Southeastern Intensivist Services PC

1,733 mi

Hospitalist

2100 N 7TH ST
West Memphis, AR 72301

Reassigned Medicare billing, Virginia enrollment
528 clinicians in this Medicare group

NPI 1912942665 (870) 733-3020

Cogent Medical Care PC

2,560 mi

Internal Medicine

101 HOSPITAL RD
East Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
640 clinicians in this Medicare group

NPI 1912941238 (631) 687-4131

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 32

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,083 services879 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

560 services473 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

517 services319 patients

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.

427 services358 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.

381 services160 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.

333 services324 patients

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

258 services245 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.

192 services98 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.

192 services48 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.

138 services69 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.

132 services132 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.

99 services93 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.

99 services13 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.

71 services69 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

71 services44 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.

69 services69 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.

68 services68 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

67 services47 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.

58 services42 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.

53 services33 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

45 services45 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

45 services39 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

38 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

32 services32 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

27 services27 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

24 services23 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

19 services12 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.

19 services19 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.

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services11 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

15 services15 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95210 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

97.12/100

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

Scored through an Alternative Payment Model

Quality

84.24

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

55%69 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DELTA HEART & MEDICAL CLINIC, INC.

Internal Medicine (Interventional Cardiology)

1801 E MARCH LN, A-170
STOCKTON, CA 95210

San Joaquin County (209) 951-9884

MIROSLAV DJOKIC M.D. INC.

Internal Medicine (Pulmonary Disease)

1801 E MARCH LN, SUITE C300
STOCKTON, CA 95210

San Joaquin County (209) 464-6422

VALLEY KIDNEY CLINIC INC

Specialist

1801 E MARCH LN, SUITE B265
STOCKTON, CA 95210

San Joaquin County (209) 546-1868

SMART PHARMACY, LLC

Pharmacy (Community/Retail Pharmacy)

1801 E MARCH LN, BLDG B STE 280
STOCKTON, CA 95210

San Joaquin County (209) 474-2888

PACIFIC SLEEP DISORDERS CENTER A CALIFORNIA GENERAL PARTNERSHIP

Internal Medicine (Sleep Medicine)

1801 E MARCH LN, SUITE C310
STOCKTON, CA 95210

San Joaquin County (209) 465-5731

KHANH QUOC NGUYEN N.P

Nurse Practitioner

1801 E MARCH LN
STOCKTON, CA 95210

San Joaquin County (209) 954-3100

VIJAYSRI NANNAPANENI

Pharmacist

1801 E MARCH LN, SUITE B280
STOCKTON, CA 95210

San Joaquin County (209) 474-2888

ALAA GABI MD

Internal Medicine (Interventional Cardiology)

1801 E MARCH LN
STOCKTON, CA 95210

San Joaquin County (209) 464-3615

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 Bader Abu Ghalyoun's NPI number?

The NPI number for Bader Abu Ghalyoun is 1740492214. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Bader Abu Ghalyoun located?

Bader Abu Ghalyoun practices at 1801 E March Ln, Stockton, CA 95210. The listed phone number is (209) 464-3615.

What is Bader Abu Ghalyoun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Bader Abu Ghalyoun enrolled in Medicare?

Yes. Bader Abu Ghalyoun 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.

Which organizations bill Medicare for Bader Abu Ghalyoun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bader Abu Ghalyoun reassigns Medicare benefits to 5 organizations: Adventist Health Physicians Network (Stockton, CA), Lodi Memorial Hospital Association, Inc (Stockton, CA), Delta Radiology, Inc. (Lodi, CA), Southeastern Intensivist Services PC (West Memphis, AR) and Cogent Medical Care PC (East Patchogue, NY). Each 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 Bader Abu Ghalyoun'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 Bader Abu Ghalyoun was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.