Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Haysam Ghannoum, MD

Individual provider Internal Medicine Physician · NPI 1205883220

Dr. Haysam Ghannoum, MD is a Hospitalist in Tulsa, Oklahoma. Qualified in 1999, 27 years ago. Practices with Greater Baltimore Medical Center Inc, a 348-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
27
Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1145 S Utica Ave Ste 1105
Tulsa, OK 74104-4000
Phone: (918) 579-5724
Fax: (918) 560-5791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 21933 (OK)

Record details

NPI number1205883220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Greater Baltimore Medical Center Inc — 348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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