✓ Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) (207RG0100X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MOUHANNA KHALED MAHMOUD ABU GHANIMEH, M.D. (NPI #1962812982)

Internal Medicine, Gastroenterology • SIOUX FALLS, SD • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1962812982
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RG0100X (CMS 10)
Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
Box 32 Service Location & ZIP+4
1205 S GRANGE AVE, SIOUX FALLS, SD, 57105-0407
✓ 9-Digit EDI 837 ZIP+4 (57105-0407)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962812982 (MOUHANNA KHALED MAHMOUD ABU GHANIMEH, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1962812982)

Medicare Beneficiaries
205
Total Billed Services
608
Distinct CPT/HCPCS Codes
52
Medicare Allowed Total
$78,729.20

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
43237 Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth27
43238 Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope72
43247 Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope18
43254 Removal of tissue lining of esophagus, stomach, and/or upper small bowel using a flexible endoscope12
43264 Removal of stone or debris from bile or pancreatic duct using a flexible endoscope37
43274 Insertion of stent into pancreatic or bile duct using a flexible endoscope34
43275 Removal of stent from pancreatic or bile duct using a flexible endoscope16

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Ciprofloxacin Hcl
Ciprofloxacin Hcl
2321
Creon
Lipase/Protease/Amylase
15<11
Gavilyte-N
Sodium Chloride/Nahco3/Kcl/Peg
1515
Omeprazole
Omeprazole
1413
Ondansetron Hcl
Ondansetron Hcl
5045
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
4339

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1962812982 (NPI-1 Individual Practitioner)
Provider / Legal NameMOUHANNA KHALED MAHMOUD ABU GHANIMEH, M.D.
Plain-English SpecialtyBoard-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology)
Certifying / Licensing BodyAmerican Board of Internal Medicine — Gastroenterology
Practice Location Address1205 S GRANGE AVE, SIOUX FALLS, SD, 57105-0407
Practice Telephone / FaxTel: (605) 328-6585
Administrative Mailing AddressPO BOX 5074, SIOUX FALLS, SD, 57117-5074
Enumeration & Last SyncEnumerated: 2014-04-29 | CMS Record Updated: 2022-04-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1205 S GRANGE AVE, SIOUX FALLS, SD, 57105-0407

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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)

What Does Taxonomy Code 207RG0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 10 (Physician/Gastroenterology) • CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine — Gastroenterology
Clinical Scope: Rectal bleeding, hemorrhoids, persistent acid reflux, difficulty swallowing, jaundice (elevated bilirubin), fatty liver disease, or colon cancer screening.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MOUHANNA KHALED MAHMOUD ABU GHANIMEH, M.D.)

Typical CPT / Diagnostic Procedures:
  • Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
  • Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
  • Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
  • Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
Common Therapeutic Classes:
  • Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
  • H. pylori Quadruple & Triple Eradication Regimens
  • Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
  • Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: MO | License: 2014014710 | Primary: Secondary
207RG0100X — Internal Medicine, Gastroenterology
Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
State: SD | License: 12467 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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