DR. GHIATH MAHMALJY MD
NPI 1972574432
Internal Medicine - Endocrinology, Diabetes & Metabolism in Brooksville, FL

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
11373 CORTEZ BLVD, SUITE 304, BROOKSVILLE, FL 34613(352) 597-8994(352) 597-8901 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ghiath Mahmaljy Md NPPES

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

DR. GHIATH MAHMALJY MD (NPI 1972574432) is an individual endocrinology, diabetes & metabolism provider in Brooksville, Florida, licensed in Florida (ME45844) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Oak Hill Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1972574432
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. GHIATH MAHMALJYCredential: MD
Location Address11373 CORTEZ BLVD, SUITE 304Brooksville, FL 34613-5414
Mailing Address14690 Spring Hill Dr, Ste 305Spring Hill, FL 34609-8102 · (352) 277-5348 · Fax (352) 606-2857
Fax(352) 597-8901
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJanuary 31, 2006
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
NPI 1972574432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in FL · ME45844
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
11373 CORTEZ BLVD, Brooksville, FL 34613

Other Identifiers 2

Other26074FL · Bcbs
OtherP01194861FL · Rr Mcr

Accepted 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

Dr. Ghiath Mahmaljy 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 ID5698877439
PECOS Enrollment IDI20070425000630
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
573 services313 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.
123 services107 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 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.
24 services22 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Oak Hill Hospital

Acute Care Hospitals · Brooksville, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100264
Location11375 Cortez BlvdBrooksville, FL 34613 · Hernando County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34613 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%448 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers34 claims456 services$17.89 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers34 claims1,055 services$2.28 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
34 suppliers154 claims579 services$5.60 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers20 claims20 services$2.95 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers11 claims11 services$1.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers66 claims108 services$1.10 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.

Surgery
11373 CORTEZ BLVD, SUITE NUMBER 201
BROOKSVILLE, FL 34613
Obstetrics & Gynecology (Gynecology)
11373 CORTEZ BLVD, SUITE 408
BROOKSVILLE, FL 34613
Pediatrics
11373 CORTEZ BLVD, SUITE 308
BROOKSVILLE, FL 34613
Specialist
11373 CORTEZ BLVD, SUITE 203
BROOKSVILLE, FL 34613
Ophthalmology
11373 CORTEZ BLVD, STE 400
BROOKSVILLE, FL 34613
Surgery
11373 CORTEZ BLVD, SUITE 202
BROOKSVILLE, FL 34613
Internal Medicine (Interventional Cardiology)
11373 CORTEZ BLVD, SUITE 307
BROOKSVILLE, FL 34613
Obstetrics & Gynecology
11373 CORTEZ BLVD, SUITE 408
BROOKSVILLE, FL 34613

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 Ghiath Mahmaljy's NPI number?

The NPI number for Ghiath Mahmaljy is 1972574432. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Ghiath Mahmaljy located?

Ghiath Mahmaljy practices at 11373 Cortez Blvd Suite 304, Brooksville, FL 34613. The listed phone number is (352) 597-8994.

What is Ghiath Mahmaljy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ghiath Mahmaljy enrolled in Medicare?

Yes. Ghiath Mahmaljy 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 Ghiath Mahmaljy accept?

Health plans from UnitedHealthcare list Ghiath Mahmaljy 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 Ghiath Mahmaljy affiliated with any hospitals?

According to CMS data, Ghiath Mahmaljy is affiliated with Hca Florida Oak Hill Hospital.

When was this NPI record last updated?

The NPPES record for Ghiath Mahmaljy was last updated on November 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.