MOLECA MAHMOUD GHANNAM
NPI 1962067157
Neurological Surgery in Canton, MI

Active since May 03, 2019PECOS Enrolled
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: August 02, 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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Moleca Mahmoud Ghannam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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 3 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.