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WAEL I GHANIM M.D.
NPI 1841241668
Pediatrics in Somerset, KY

Active since May 15, 2006PECOS Enrolled
305 LANGDON ST, SOMERSET, KY 42503(606) 679-7441 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2021, Jun 3, 2020, Nov 22, 2019 (3 updates tracked since 2019).

About Wael I Ghanim M.d. NPPES

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

WAEL I GHANIM M.D. (NPI 1841241668) is an individual pediatrics provider in Somerset, Kentucky, licensed in Kentucky (38144) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841241668
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameWAEL I GHANIMCredential: M.D.
Location Address305 LANGDON STSomerset, KY 42503-2750
Mailing Address305 Langdon StSomerset, KY 42503-2750 · (606) 679-7441
Phone(606) 679-7441
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateSeptember 15, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
✔ NPI 1841241668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KY · 38144✔ Licensed in PA · MD446646
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 38144 (KY)
305 LANGDON ST, Somerset, KY 42503
Open in Google Maps ↗

Other Identifiers 4

Other000000312935Anthem Bc/bs
Medicaid64072358KY
Medicaid010038227VA
Medicaid4046618TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wael I Ghanim M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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.

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.

LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Clinic/Center (Rural Health)
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441
CAPITAL ANESTHESIA SOLUTIONS OF KENTUCKY LLC
Anesthesiology
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (330) 618-9944
GAGE KECK DO
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441
LAKE CUMBERLAND SURGICAL ASSISTANTS LLC
Surgery
305 LANGDON ST, LAKE CUMBERLAND REGIONAL HOSP
SOMERSET, KY 42503
Pulaski County (606) 679-7441
MICHAEL EDWARD HELM PA-C
Physician Assistant
305 LANGDON ST, STE H
SOMERSET, KY 42503
Pulaski County (606) 451-2994
ELIZABETH ANN SLAYTON
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (502) 220-8534
ELIZABETH ERIN COMBS FNP-C
Neurological Surgery
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 425-8893
BERNARD WILLIAMS
Emergency Medicine
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441

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 Wael Ghanim's NPI number?

The NPI number for Wael Ghanim is 1841241668. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Wael Ghanim located?

Wael Ghanim practices at 305 Langdon St, Somerset, KY 42503. The listed phone number is (606) 679-7441.

What is Wael Ghanim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Wael Ghanim enrolled in Medicare?

Yes. Wael Ghanim is registered in the Medicare PECOS enrollment system.

What insurance does Wael Ghanim accept?

Health plans from CareSource and Priority Health list Wael Ghanim 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 Wael Ghanim was last updated on September 15, 2021. 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.