1. Home
  2. Directory
  3. Michigan
  4. Kalamazoo
  5. Family Medicine
  6. NPI Profile

ALI GHASHAM MD
NPI 1881894459
Family Medicine in Kalamazoo, MI

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
601 JOHN ST, BOX 74, KALAMAZOO, MI 49007(269) 341-8481(269) 341-7781 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 3, 2024, Feb 10, 2021, Oct 26, 2020 and 1 more (4 updates tracked since 2020).

About Ali Ghasham Md NPPES

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

ALI GHASHAM MD (NPI 1881894459) is an individual family medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301090879) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Bronson Battle Creek Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1881894459
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALI GHASHAMCredential: MD
Location Address601 JOHN ST, BOX 74Kalamazoo, MI 49007-5341
Mailing Address601 John St, Box 74Kalamazoo, MI 49007-5341 · (269) 341-8481 · Fax (269) 341-7781
Phone(269) 341-8481
Fax(269) 341-7781
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 23, 2007
Last NPPES UpdateMay 3, 20244 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1881894459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301090879
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

601 JOHN ST, Kalamazoo, MI 49007
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.Insurance ›

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

Ali Ghasham 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 ID9931379864
PECOS Enrollment IDI20110831000553
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 10

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.

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.
103 services100 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
27 services15 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.
27 services16 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
27 services27 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
24 services11 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.82 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims33 services$83.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MARIJO SNYDER M.D.
Obstetrics & Gynecology
601 JOHN ST, SUITE M318
KALAMAZOO, MI 49007
Kalamazoo County (269) 345-6197
MRS. SUSAN FULLER RNC WHNP
Nurse Practitioner (Women's Health)
601 JOHN ST, SUITE M318
KALAMAZOO, MI 49007
Kalamazoo County (269) 345-6197
TOM GARLING M.D.
Obstetrics & Gynecology
601 JOHN ST, SUITE N-1100
KALAMAZOO, MI 49007
Kalamazoo County (269) 343-4609
GREGORY FELDMEIER M.D.
Obstetrics & Gynecology
601 JOHN ST, SUITE N-1100
KALAMAZOO, MI 49007
Kalamazoo County (269) 343-4609
DR. WILLIAM T LEEBURG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7654
DR. RONALD JAMES ZEGERIUS MD
Internal Medicine (Cardiovascular Disease)
601 JOHN ST, SUITE M230
KALAMAZOO, MI 49007
Kalamazoo County (269) 345-9606
DR. DAVID WILLIAM BURKE MD
Internal Medicine (Cardiovascular Disease)
601 JOHN ST, SUITE M230
KALAMAZOO, MI 49007
Kalamazoo County (269) 345-9606
DR. BENJAMIN ALLAN PERRY MD
Internal Medicine (Cardiovascular Disease)
601 JOHN ST, SUITE M230
KALAMAZOO, MI 49007
Kalamazoo County (269) 345-9606

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 Ali Ghasham's NPI number?

The NPI number for Ali Ghasham is 1881894459. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Ali Ghasham located?

Ali Ghasham practices at 601 John St Box 74, Kalamazoo, MI 49007. The listed phone number is (269) 341-8481.

What is Ali Ghasham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ali Ghasham enrolled in Medicare?

Yes. Ali Ghasham 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.

What insurance does Ali Ghasham accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, McLaren Health Plan Community and Priority Health list Ali Ghasham 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.

Is Ali Ghasham affiliated with any hospitals?

According to CMS data, Ali Ghasham is affiliated with Bronson Battle Creek Hospital.

When was this NPI record last updated?

The NPPES record for Ali Ghasham was last updated on May 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.