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NOHA GHUSSON M.D.
NPI 1902225683
Internal Medicine - Infectious Disease in Trenton, NJ

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
40 FULD ST STE 305, TRENTON, NJ 08638(609) 394-6338(609) 394-6328 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2021, Feb 4, 2020 (2 updates tracked since 2020).

About Noha Ghusson M.d. NPPES

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

NOHA GHUSSON M.D. (NPI 1902225683) is an individual infectious disease provider in Trenton, New Jersey, licensed in New Jersey (25MA10208000) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of George Washington University School Of Medicine (2014).

NPPES Registry Identity

NPI1902225683
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameNOHA GHUSSONCredential: M.D.
Location Address40 FULD ST STE 305Trenton, NJ 08638-5247
Mailing Address16 Grove AveCedar Grove, NJ 07009-1452 · (609) 558-4569
Phone(609) 394-6338
Fax(609) 394-6328
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1902225683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA10208000
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
40 FULD ST STE 305, Trenton, NJ 08638
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Noha Ghusson 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 ID9830312099
PECOS Enrollment IDI20190830002475
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 Reassignment

Medicare enrollment records show Noha Ghusson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Health Medical Group
0.1 mi
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 581 clinicians in this Medicare group
NPI 1437516887 (609) 815-7829

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 5

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 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.
304 services186 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.
131 services124 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.
102 services72 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.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

MRS. ALISON PANNO APN
Nurse Practitioner (Critical Care Medicine)
40 FULD ST STE 305
TRENTON, NJ 08638
Mercer County (609) 394-6338
EDWARD WILLIAM WALTON APRN
Nurse Practitioner (Family)
40 FULD ST STE 305
TRENTON, NJ 08638
Mercer County (609) 394-6338
MRS. AMBER L. JEZIERSKI APN
Nurse Practitioner (Acute Care)
40 FULD ST STE 305
TRENTON, NJ 08638
Mercer County (609) 394-6338
DR. EJO JOHN MD
Internal Medicine (Nephrology)
40 FULD ST STE 305
TRENTON, NJ 08638
Mercer County (609) 394-6338
GEORGY ZARKUA M.D.
Internal Medicine (Infectious Disease)
40 FULD ST STE 305
TRENTON, NJ 08638
Mercer County (609) 394-6338
BUSHRA SALEEM M.D.
Internal Medicine (Nephrology)
40 FULD ST STE 305
TRENTON, NJ 08638
Mercer County (609) 394-6338

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 Noha Ghusson's NPI number?

The NPI number for Noha Ghusson is 1902225683. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Noha Ghusson located?

Noha Ghusson practices at 40 Fuld St Ste 305, Trenton, NJ 08638. The listed phone number is (609) 394-6338.

What is Noha Ghusson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Noha Ghusson enrolled in Medicare?

Yes. Noha Ghusson 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 organization bills Medicare for Noha Ghusson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noha Ghusson reassigns Medicare benefits to Capital Health Medical Group (Trenton, NJ). The 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 Noha Ghusson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Noha Ghusson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Noha Ghusson 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 Noha Ghusson affiliated with any hospitals?

According to CMS data, Noha Ghusson is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Noha Ghusson was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.