Gamal M. Ghoniem, M.D.
NPI 1467415919 · Urology Physician · Orange, CA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gamal M. Ghoniem, M.D. is a Urology Physician provider in Orange, CA (NPI 1467415919).
Provider details
- NPI number
- 1467415919
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C54137 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
410 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 66 | $107 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 54 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 30 | $147 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 29 | $104 |
| Electronic Assessment of Bladder Emptying51741 | 18 | $5 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mirabegronbrand: Myrbetriq | 114 | 37 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 49 | 14 |
| Fesoterodine Fumaratebrand: Fesoterodine Fumarate Er | 33 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 31 | 29 |
| Vibegronbrand: Gemtesa | 28 | — |
| Estradiol | 24 | 12 |
| Solifenacin Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,384 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2011-08-18
Frequently asked questions
- What is Gamal M. Ghoniem's NPI number?
- Gamal M. Ghoniem's National Provider Identifier (NPI) is 1467415919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gamal M. Ghoniem's specialty?
- Gamal M. Ghoniem is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Gamal M. Ghoniem located?
- Gamal M. Ghoniem's practice location on file with NPPES is 101 the City Dr S, Orange, CA 92868-3201.
- What is Gamal M. Ghoniem's phone number?
- The practice phone number listed in the NPPES registry for Gamal M. Ghoniem is (714) 456-5378.
- Does Gamal M. Ghoniem accept Medicare?
- Gamal M. Ghoniem is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gamal M. Ghoniem's NPI active?
- Yes — Gamal M. Ghoniem's NPI (1467415919) is active in the NPPES registry as of the last update on 2011-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.