Dr Sujal P Ghelani, DO - Medicare Allergy/immunology in Exton, PA

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Dr Sujal P Ghelani, DO is a medicare enrolled "Allergy & Immunology" physician in Exton, Pennsylvania. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is 310 Exton Cmns, Exton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 897-7143.

Dr Sujal P Ghelani is licensed to practice in Pennsylvania (license number OS018675) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700213055.

Contact Information

Dr Sujal P Ghelani, DO
310 Exton Cmns,
Exton, PA 19341-2450
(484) 897-7143
(484) 328-6491

Map and Direction




Physician's Profile

Full NameDr Sujal P Ghelani
GenderMale
SpecialityAllergy/immunology
Experience11 Years
Location310 Exton Cmns, Exton, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sujal P Ghelani graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1700213055
  • Provider Enumeration Date: 10/01/2013
  • Last Update Date: 03/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496041444
  • Enrollment ID: I20170823002712

Medical Identifiers

Medical identifiers for Dr Sujal P Ghelani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700213055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0201XInternal Medicine - Allergy & Immunology OS018675 (Pennsylvania)Secondary
2080P0201XPediatrics - Pediatric Allergy/immunology OS018675 (Pennsylvania)Secondary
207K00000XAllergy & Immunology OS018675 (Pennsylvania)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 Sujal P Ghelani allows following entities to bill medicare on his behalf.
Entity NameKeystone Allergy And Asthma Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164013140
PECOS PAC ID: 1456768449
Enrollment ID: O20210317002924

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 Sujal P 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 Sujal P Ghelani, DO
310 Exton Cmns,
Exton, PA 19341-2450

Ph: (484) 897-7143		Dr Sujal P Ghelani, DO
310 Exton Cmns,
Exton, PA 19341-2450

Ph: (484) 897-7143

Reviews and Comments


Allergy & Immunology Doctors in Exton, PA

Guillermo R Juncos, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 80 W Welsh Pool Rd, Medical Arts Bldg Ste 206, Exton, PA 19341
Phone: 610-363-7244    Fax: 610-524-8446
Dr. Mahmoud Kamal Effat, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 108 John Robert Thomas Dr, Exton, PA 19341
Phone: 610-363-0907    Fax: 610-363-8097

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.