EDWARD G GHATTAS DO NPI 1164412466

NPI Information

  • NPI: 1164412466
  • Provider Name: EDWARD G GHATTAS, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 26900 N LAKE PLEASANT PKWY # 200
    PEORIA, AZ
    ZIP 85383
  • Phone: (623) 561-3000

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NPI Details

Edward G Ghattas, DO is a family medicine in Peoria, AZ with 46 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Edward G Ghattas, DO NPI is 1164412466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1980

The provider's business location address is:

26900 N LAKE PLEASANT PKWY # 200
PEORIA, AZ
ZIP 85383-394
Phone: (623) 561-3000
Fax: (623) 561-3009

The NPI 1164412466 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 10/27/2005 and was last updated on 1/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5101011159MICHIGANNo
2207Q00000XFamily Medicine005164ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C2472OTHERMICHIGANMCARE
2204373OTHERMICHIGANMCLAREN HEALTH PLAN
3080093523OTHERMICHIGANMETRAHEALTH
4204373OTHERMICHIGANHEALTH ADVANTAGE NETWORK
53327505MEDICAIDMICHIGAN
6425169MEDICAIDARIZONA
7F78381OTHERMICHIGANHEALTH NET FEDERAL
8080D410020OTHERMICHIGANBLUE CROSS BLUE SHIELD
9080D410020OTHERMICHIGANBLUE CARE NETWORK
100852524385OTHERMICHIGANHEALTH PLUS
115895095OTHERMICHIGANAETNA
122341129003OTHERMICHIGANCIGNA
13F78381OTHERMICHIGANHEALTH ALLIANCE PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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