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ANDRE GHANTOUS M.D.
NPI 1790731354
Internal Medicine - Cardiovascular Disease in New Haven, CT

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1450 CHAPEL ST, NEW HAVEN, CT 06511(203) 789-4290(203) 789-6046 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andre Ghantous M.d. NPPES

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

ANDRE GHANTOUS M.D. (NPI 1790731354) is an individual cardiovascular disease provider in New Haven, Connecticut, licensed in Connecticut (035612) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1790731354
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameANDRE GHANTOUSCredential: M.D.
Location Address1450 CHAPEL STNew Haven, CT 06511-4405
Mailing Address1450 Chapel StNew Haven, CT 06511-4405 · (203) 789-6044 · Fax (203) 789-6046
Phone(203) 789-4290
Fax(203) 789-6046
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 25, 2006
Last NPPES UpdateNovember 19, 2013
✔ NPI 1790731354 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 CT · 035612
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.
1450 CHAPEL ST, New Haven, CT 06511
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Other Identifiers 3

Medicare ID-Type Unspecified110007602CT
Medicare UPING68863
Medicaid001356121CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Andre Ghantous M.d. 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 ID9335037662
PECOS Enrollment IDI20040309000189
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

6

Medicare enrollment records show Andre Ghantous reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University
1.0 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432
Midstate Medical Center
18 mi
General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
NPI 1154425288 (860) 696-6287
The Hospital Of Central Connecticut At New Britain General And Bradley
25 mi
General Acute Care Hospital
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
NPI 1053477075 (860) 224-5011
Hartford Healthcare Medical Group, Inc
30 mi
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
NPI 1043561301 (860) 972-9033
Hartford Hospital
34 mi
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group
NPI 1407806391 (860) 545-7602
Hartford Healthcare Medical Group Specialists, PLLC
34 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071

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 16

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 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.
407 services298 patients
Remote monitoring of pulmonary artery pressure sensor, up to 30 days 93264
Remote monitoring of pulmonary artery pressure is a procedure where a sensor, placed in your lung artery, transmits data about your heart's function for up to 30 days. This helps doctors monitor your heart health remotely, ensuring timely intervention if needed.
199 services26 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.
166 services105 patients
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.
99 services93 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.
85 services84 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.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

ARTHUR H KNOWLTON MD
Radiology (Therapeutic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3131
CAROLA MARTE MD
Internal Medicine
1450 CHAPEL ST, HAELEN CENTER
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4135
CHARLES WILLIAM JONES JR. PHARMD, BCPS
Pharmacist (Pharmacotherapy)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-6267
ANDREA LOWE PAC
Physician Assistant
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3464
KATHERINE ADAMS
Speech-Language Pathologist
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (475) 246-6982
J E FREDRIK ZETTERBERG MD
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3124
SARAH ROSE ROCKS PA
Physician Assistant (Medical)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 680-6185
DR. JULIE ROTHSTEIN ROSENBAUM MD
Internal Medicine
1450 CHAPEL ST, ADULT PRIMARY CARE CENTER
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4044

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 Andre Ghantous's NPI number?

The NPI number for Andre Ghantous is 1790731354. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Andre Ghantous located?

Andre Ghantous practices at 1450 Chapel St, New Haven, CT 06511. The listed phone number is (203) 789-4290.

What is Andre Ghantous's specialty?

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

Is Andre Ghantous enrolled in Medicare?

Yes. Andre Ghantous 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 Andre Ghantous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Ghantous reassigns Medicare benefits to 6 organizations: Yale University (New Haven, CT), Midstate Medical Center (Meriden, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Hartford Healthcare Medical Group, Inc (Wethersfield, CT), Hartford Hospital (Hartford, CT) and 1 more organization, listed in the Medicare section above. 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 Andre Ghantous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Ghantous accept?

Health plans from Anthem Blue Cross and Blue Shield list Andre Ghantous 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.

When was this NPI record last updated?

The NPPES record for Andre Ghantous was last updated on November 19, 2013. 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.