Dr Ghanshyam Himmatbhai Ghelani, MD - Medicare Internal Medicine in Tyler, TX

Dr Ghanshyam Himmatbhai Ghelani, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Tyler, Texas. His current practice location is 721 Clinic Dr, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 592-0629.

Dr Ghanshyam Himmatbhai Ghelani is licensed to practice in Texas (license number U9533) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407297385.

Contact Information

Dr Ghanshyam Himmatbhai Ghelani, MD
721 Clinic Dr,
Tyler, TX 75701-2043
(903) 592-0629
Not Available

Map and Direction




Physician's Profile

Full NameDr Ghanshyam Himmatbhai Ghelani
GenderMale
SpecialityInternal Medicine - Hematology & Oncology
Location721 Clinic Dr, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407297385
  • Provider Enumeration Date: 07/08/2013
  • Last Update Date: 06/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840591590
  • Enrollment ID: I20160826001565

Medical Identifiers

Medical identifiers for Dr Ghanshyam Himmatbhai Ghelani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407297385NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT203125 (Pennsylvania)Secondary
207RH0003XInternal Medicine - Hematology & Oncology U9533 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ghanshyam Himmatbhai Ghelani allows following entities to bill medicare on his behalf.
Entity NameDepartment Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051
Entity NameUpstate Community Medical, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689620163
PECOS PAC ID: 0143238782
Enrollment ID: O20060323000644

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ghanshyam Himmatbhai Ghelani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ghanshyam Himmatbhai Ghelani, MD
11937 Us Highway 271,
Tyler, TX 75708-3154

Ph: (903) 877-7200
Dr Ghanshyam Himmatbhai Ghelani, MD
721 Clinic Dr,
Tyler, TX 75701-2043

Ph: (903) 592-0629

Reviews and Comments


Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD
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Phone: 903-595-5486    Fax: 903-595-5128
Preetham Reddy Muskula, MD
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Dr. Varalaxmi Bhavani Nannaka, M.D.
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David A Brickey, DO
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Randy Craig Randall, MD
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Phone: 903-595-2283    Fax: 903-595-1063
Nabeel K Ahmed, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1133 Medical Dr, Tyler, TX 75701
Phone: 903-595-5486    Fax: 903-595-5128
Rodolfo Amaro-galvez, MD
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Medicare: Medicare Enrolled
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7072    Fax: 903-877-5838

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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