MR. MOUHANNA KHALED MAHMOUD ABU GHANIMEH M.D.
NPI 1962812982
Internal Medicine - Gastroenterology in Sioux Falls, SD

Q: What is Mouhanna Abu Ghanimeh's NPI number?

The NPI number for Mouhanna Abu Ghanimeh is 1962812982. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Q: What is Mouhanna Abu Ghanimeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment

76.69/100

CMS Quality Rating

1205 S GRANGE AVE, SIOUX FALLS, SD 57105(605) 328-6585 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2022, Oct 4, 2021, Jul 8, 2021 (3 updates tracked since 2021).

On this page

About Mr. Mouhanna Khaled Mahmoud Abu Ghanimeh M.d. NPPES

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

MR. MOUHANNA KHALED MAHMOUD ABU GHANIMEH M.D. (NPI 1962812982) is an individual gastroenterology provider in Sioux Falls, South Dakota, licensed in South Dakota (12467) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1962812982

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMR. MOUHANNA KHALED MAHMOUD ABU GHANIMEHCredential: M.D.

Location Address1205 S GRANGE AVESioux Falls, SD 57105-0407

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 328-6585

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 29, 2014

Last NPPES UpdateApril 18, 20223 updates tracked since enumeration

NPPES CertifiedApril 18, 2022

✔ NPI 1962812982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in SD · 12467

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2014014710 (MO)

1205 S GRANGE AVE, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 12301 Holmes Street, Truman Medical CenterKansas City, MO 64108 · Phone (816) 404-4175 · Fax (816) 404-0003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and more.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

Mr. Mouhanna Khaled Mahmoud Abu Ghanimeh 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 ID2163725128

PECOS Enrollment IDI20211022002024

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

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

Sanford Clinic

Same address

Nephrology

1205 S. GRANGE AVE, STE 201
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
826 clinicians in this Medicare group

NPI 1295848521 (605) 328-8100

Sanford Medical Center

0.7 mi

Family Medicine

1420 W 22NDST STE 104
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
1,097 clinicians in this Medicare group

NPI 1093090342 (605) 328-4897

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 16

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

72 services68 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

49 services35 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

46 services39 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

37 services32 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

34 services26 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

32 services32 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

27 services26 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

25 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services22 patients

Review by radiologist of image to guide opening of digestive tract 74360

This procedure involves a radiologist examining an image of your digestive tract. The image helps the radiologist determine the best way to open your digestive tract, if necessary. This is done to diagnose or treat certain conditions. It's a common, safe procedure.

22 services13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

21 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

21 services21 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.

19 services19 patients

Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43247

This procedure involves using a flexible instrument, called an endoscope, to remove foreign objects lodged in the esophagus, stomach, or upper small bowel. The endoscope is gently inserted through the mouth to reach the affected area and safely extract the foreign body.

18 services12 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

16 services15 patients

Removal of tissue lining of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43254

This procedure involves the use of a flexible tube with a light and camera, called an endoscope, to remove tissue from your esophagus, stomach, or upper small bowel. It's typically done to diagnose or treat certain conditions, and is a safe, minimally invasive option.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161360

Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County

Emergency services

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161381

Location118 North 7th AvenueSheldon, IA 51201 · Obrien County

Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430097

Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County

Emergency services Birthing friendly

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431336

Location20 South Plum StreetVermillion, SD 57069 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

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.

MEGHAN CLEMENSEN CNP

Nurse Practitioner (Family)

1205 S GRANGE AVE
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8500

MRS. KATIE ELIZABETH LARSON MD

Pediatrics

1205 S GRANGE AVE, SUITE 307
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7800

AARON M ZYLSTRA M.D.

Pediatrics

1205 S GRANGE AVE, STE 307
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7800

DR. MOHAMMAD ZEESHAN QAMAR M.D

Internal Medicine (Nephrology)

1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8100

LORI BUSCHENA

Social Worker

1205 S GRANGE AVE, SUITE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

DR. ANTHONY JEROME RUPP M.D.

Internal Medicine (Nephrology)

1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8100

TIMOTHY E HURLEY M.D.

Internal Medicine

1205 S GRANGE AVE, STE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

DR. DEVIN BISSOON M.D.

Internal Medicine (Pulmonary Disease)

1205 S GRANGE AVE, STE 407
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8900

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 Mouhanna Abu Ghanimeh's NPI number?

The NPI number for Mouhanna Abu Ghanimeh is 1962812982. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Mouhanna Abu Ghanimeh located?

Mouhanna Abu Ghanimeh practices at 1205 S Grange Ave, Sioux Falls, SD 57105. The listed phone number is (605) 328-6585.

What is Mouhanna Abu Ghanimeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mouhanna Abu Ghanimeh enrolled in Medicare?

Yes. Mouhanna Abu Ghanimeh 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 Mouhanna Abu Ghanimeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mouhanna Abu Ghanimeh reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). 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 Mouhanna Abu Ghanimeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mouhanna Abu Ghanimeh accept?

Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Mouhanna Abu Ghanimeh 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 Mouhanna Abu Ghanimeh affiliated with any hospitals?

According to CMS data, Mouhanna Abu Ghanimeh is affiliated with Orange City Area Health System, Sanford Sheldon Medical Center, Sanford Usd Medical Center, Sanford Medical Center Aberdeen and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Mouhanna Abu Ghanimeh was last updated on April 18, 2022. 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.