MOLECA MAHMOUD GHANNAM
NPI 1962067157
Neurological Surgery in Canton, MI

Active since May 03, 2019PECOS EnrolledAccepts Medicare Assignment
49918 HANCOCK ST, CANTON, MI 48188(734) 985-5746 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2026, May 3, 2019 (2 updates tracked since 2019).

About Moleca Mahmoud Ghannam NPPES

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

MOLECA MAHMOUD GHANNAM (NPI 1962067157) is an individual neurological surgery provider in Canton, Michigan, licensed in Maryland (D0105854) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2019).

NPPES Registry Identity

NPI1962067157
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameMOLECA MAHMOUD GHANNAM
Location Address49918 HANCOCK STCanton, MI 48188-6660
Mailing Address49918 Hancock StCanton, MI 48188-6660
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2019
Enumeration DateMay 3, 2019
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1962067157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in MD · D0105854
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
49918 HANCOCK ST, Canton, MI 48188

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

Moleca Mahmoud Ghannam 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 ID3971075763
PECOS Enrollment IDI20260612000283
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

2

Medicare enrollment records show Moleca Ghannam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
5890 WATERLOO RD
Columbia, MD 21045
  • Reassigned Medicare billing, Maryland enrollment
  • 41 clinicians in this Medicare group
Emergency Care
22 S GREENE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Shock Trauma Associates PA
  • 541 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48188 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Moleca Ghannam's NPI number?

The NPI number for Moleca Ghannam is 1962067157. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Moleca Ghannam located?

Moleca Ghannam practices at 49918 Hancock St, Canton, MI 48188. The listed phone number is (734) 985-5746.

What is Moleca Ghannam's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Moleca Ghannam enrolled in Medicare?

Yes. Moleca Ghannam 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 Moleca Ghannam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moleca Ghannam reassigns Medicare benefits to 2 organizations: University Of Maryland Neurosurgery Associates P A (Columbia, MD) and Shock Trauma Associates, P.A. (Baltimore, MD). 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 Moleca Ghannam'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 Moleca Ghannam was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.