2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1912161787 M.D
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LOUI ABDELGHANI, M.D

Critical Care Medicine (Internal Medicine) Physician in STOCKTON, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
426
Medicare Part D claims · 79 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
30%
generic claims · 70% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$143.89
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LOUI ABDELGHANI, M.D is a Critical Care Medicine (Internal Medicine) Physician ([object Object]) practicing in STOCKTON, California with a Medicare Part D prescribing footprint of 426 claims across 79 beneficiaries — 70% brand-name prescribing . Industry payments of $143.89 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LOUI ABDELGHANI, M.D filed 426 Medicare Part D claims in 2023 across STOCKTON, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LOUI ABDELGHANI, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LOUI ABDELGHANI, M.D at a glance

Quality data not reported

NPI registry status

Active

Issued 07/11/2008

NPI 1912161787

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

426 60% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

Specialty distribution in California

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among California providers

California providers

Critical Care Medicine (Internal Medicine) Physician share within California

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Critical Care Medicine (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Critical Care Medicine (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Critical Care Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Critical Care Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

LOUI ABDELGHANI, M.D is a Critical Care Medicine (Internal Medicine) Physician provider practicing in STOCKTON, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1912161787. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

LOUI ABDELGHANI, M.D appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D credentials at 1801 E MARCH LN STE C300, STOCKTON, CA, 95210, with a listed phone of (209) 464-6422. NPI 1912161787 was issued on 07/11/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABDELGHANI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 426 prescription claims written by this provider, covering 79 Medicare beneficiaries and totaling roughly $506K in drug spend, split 70% brand-name and 30% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1801 E MARCH LN STE C300
STOCKTON, CA 95210

Provider Details

NPI 1912161787
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D
Gender Male
NPI Issued 07/11/2008

Hospital and facility affiliations

Facilities where LOUI ABDELGHANI, M.D bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SAN JOAQUIN CRITICAL CARE MEDICAL GROUP, INC.
STOCKTON, CA
SONORA COMMUNITY HOSPITAL
SONORA, CA
SUTTER VALLEY MEDICAL FOUNDATION
MODESTO, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for LOUI ABDELGHANI, M.D. Source: openpaymentsdata.cms.gov.

Total received

$144

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to LOUI ABDELGHANI, M.D. To verify LOUI ABDELGHANI, M.D's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

LOUI ABDELGHANI, M.D — brand share 70.0%
Specialty average (est.)

70% brand-name claims vs 30% generic, on 426 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

426
Total Claims
$506K
Total Drug Cost
79
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
604
Total Day Supply
17,143
Brand vs Generic
70% brand / 30% generic
Brand Drug Cost
$502K
Generic Drug Cost
$4K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.92
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
65
Albuterol Sulfate Hfa
Albuterol Sulfate
38
Spiriva Respimat
Tiotropium Bromide
35
Symbicort
Budesonide/Formoterol Fumarate
26
Ofev
Nintedanib Esylate
25
Azithromycin
21
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
21
Eliquis
Apixaban
21
Breo Ellipta
Fluticasone/Vilanterol
19
Montelukast Sodium
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How LOUI ABDELGHANI, M.D fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

LOUI ABDELGHANI, M.D's 426 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as ABDELGHANI.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LOUI ABDELGHANI, M.D's specialty?
LOUI ABDELGHANI, M.D specializes in Critical Care Medicine (Internal Medicine) Physician and practices in STOCKTON, California. Credentials: M.D.
How much does LOUI ABDELGHANI, M.D prescribe under Medicare Part D?
In 2023, LOUI ABDELGHANI, M.D wrote 426 Medicare Part D claims totaling $506K in drug costs for 79 beneficiaries.
Where is LOUI ABDELGHANI, M.D located?
LOUI ABDELGHANI, M.D is located at 1801 E MARCH LN STE C300, STOCKTON, CA, 95210. Phone: (209) 464-6422.
What is LOUI ABDELGHANI, M.D's NPI number?
LOUI ABDELGHANI, M.D's National Provider Identifier (NPI) is 1912161787, issued on 07/11/2008.
Does LOUI ABDELGHANI, M.D prescribe more brand-name or generic drugs?
LOUI ABDELGHANI, M.D's prescribing is 70% brand-name and 30% generic drugs by claim count, with $502K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does LOUI ABDELGHANI, M.D prescribe most often?
Based on 2023 Medicare Part D data, LOUI ABDELGHANI, M.D's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Spiriva Respimat. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LOUI ABDELGHANI, M.D accept Medicare?
LOUI ABDELGHANI, M.D appears in CMS Medicare data with 426 Part D claims and 79 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LOUI ABDELGHANI, M.D's credentials?
LOUI ABDELGHANI, M.D's NPI is 1912161787 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology