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DR. FADY GHALI M.D.
NPI 1992156640
Urology in New Haven, CT

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
789 HOWARD AVENUE, FMP 302, NEW HAVEN, CT 06519(203) 785-5339 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2023, Aug 6, 2021, Jun 23, 2016 (3 updates tracked since 2016).

About Dr. Fady Ghali M.d. NPPES

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

DR. FADY GHALI M.D. (NPI 1992156640) is an individual urology provider in New Haven, Connecticut, licensed in Connecticut (74555) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992156640
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. FADY GHALICredential: M.D.
Location Address789 HOWARD AVENUE, FMP 302New Haven, CT 06519
Mailing AddressPo Box 50095Seattle, WA 98145-5090
Phone(203) 785-5339
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 23, 2016
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1992156640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in CT · 74555✔ Licensed in WA · MD61151828
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

789 HOWARD AVENUE, New Haven, CT 06519
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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. Fady Ghali 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 ID6800290289
PECOS Enrollment IDI20230908002883
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 7

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.
77 services51 patients
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.
45 services39 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
30 services27 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.
16 services15 patients
Destruction and/or removal of large growth of bladder using an endoscope 52240
This procedure involves using a special instrument, an endoscope, to view and treat a large growth in the bladder. The growth is either destroyed or removed to alleviate symptoms and prevent further complications. It's a minimally invasive technique, enhancing recovery.
14 services11 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 5

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

DR. JENNIFER DYAN POSSICK M.D.
Internal Medicine (Pulmonary Disease)
789 HOWARD AVENUE, WINCHESTER CHEST CLINIC
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-4198
MARTHA MINIHAN MITCHELL RNC MS CAPT NC USNR
Nurse Practitioner
789 HOWARD AVENUE, YALE NEW HAVEN HOSPITAL WOMENS CENTER
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-4101
STEVEN VINCENT SICA PHARMD
Pharmacist
789 HOWARD AVENUE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-9450
SEYEDTAGHI TAKYAR M.D., PHD
Internal Medicine (Critical Care Medicine)
789 HOWARD AVENUE, 2ND FLOOR WINCHESTER CHEST CLINIC
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-4198
DR. JAIME ANN CAVALLO MD, MPHS
Urology
789 HOWARD AVENUE, UROLOGY SUITE, FMP 300
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-5339

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 Fady Ghali's NPI number?

The NPI number for Fady Ghali is 1992156640. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Fady Ghali located?

Fady Ghali practices at 789 Howard Avenue Fmp 302, New Haven, CT 06519. The listed phone number is (203) 785-5339.

What is Fady Ghali's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Fady Ghali enrolled in Medicare?

Yes. Fady Ghali 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.

When was this NPI record last updated?

The NPPES record for Fady Ghali was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.