Ghassem Mangouri, M.D.
NPI 1134119209ActiveIndividual· Surgery· Johnson City, NY
Surgery (M.D.) with Our Lady of Lourdes Memorial Hospital Inc, practicing in Johnson City, New York. Medicare paid $16,523 for services to 87 patients in 2024. Lists Our Lady of Lourdes Memorial Hospital, Inc as a hospital affiliation.
Overview
| NPI | 1134119209 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 28, 2005 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 154223 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 210 across 25 procedure codes |
| Paid by Medicare | $16,523 |
Education and affiliations
| Graduation year | 1973 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Our Lady of Lourdes Memorial Hospital IncBinghamton, NY · 249 clinicians
Hospital affiliation
- Our Lady of Lourdes Memorial Hospital, IncBinghamton, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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