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

Dr. Malik Ya Ghannam, MD

Individual provider Neurology Physician · NPI 1669995528

Dr. Malik Ya Ghannam, MD is a Neurology in Des Moines, Iowa. Qualified in 2013, 13 years ago. Practices with Columbus Ambulatory Healthcare Services, Inc, a 157-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Minnesota, North Carolina and Wisconsin.

Years since qualifying
13
Licensed in
IA, MN, NC, WI
In the registry since
2017
Specialties on file
8
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

1111 6th Ave Ste A100
Des Moines, IA 50314-2610
Phone: (515) 358-0011
Fax: (515) 358-0099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 200 Hawkins Dr, Iowa City, IA 52242-1009 — (319) 356-2572
  • 701 W Forevergreen Rd, North Liberty, IA 52317-9848 — (319) 356-2952
  • 210 Medical Pavilion Dr, Raeford, NC 28376-9111 — (910) 904-8000
  • 130 2nd St, Neenah, WI 54956-2883 — (920) 735-7645

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence MD-48454 (IA)
Neurology Physician Taxonomy 2084N0400X · Licence 28818 (MN)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 13474 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence MD-48454 (IA)
Epilepsy Physician Taxonomy 2084E0001X · Licence MD-48454 (IA)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence MD-48454 (IA)
Neurocritical Care Physician Taxonomy 2084A2900X · Licence MD-48454 (IA)
Neurology Physician Taxonomy 2084N0400X · Licence 2025-00068 (NC)

Record details

NPI number1669995528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2017
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Columbus Ambulatory Healthcare Services, Inc. — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations17 on file with Medicare

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