Nirali J Ghia, MD - Medicare Obstetrics/gynecology in Elmhurst, IL

Nirali J Ghia, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Elmhurst, Illinois. She went to Northwestern University Feinberg Medical School and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 1200 S York St Ste 2000, Elmhurst, Illinois. You can reach out to her office (for appointments etc.) via phone at (331) 221-9002.

Nirali J Ghia is licensed to practice in Illinois (license number 036100496) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366492555.

Contact Information

Nirali J Ghia, MD
1200 S York St Ste 2000,
Elmhurst, IL 60126-5634
(331) 221-9002
(331) 221-2749

Map and Direction




Physician's Profile

Full NameNirali J Ghia
GenderFemale
SpecialityObstetrics/gynecology
Experience29 Years
Location1200 S York St Ste 2000, Elmhurst, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nirali J Ghia attended and graduated from Northwestern University Feinberg Medical School in 1995
  NPI Data:
  • NPI Number: 1366492555
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 05/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8325178379
  • Enrollment ID: I20100617000598

Medical Identifiers

Medical identifiers for Nirali J Ghia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366492555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 036100496 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elmhurst Memorial HospitalElmhurst, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346992710

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. Nirali J Ghia allows following entities to bill medicare on her behalf.
Entity NameElmhurst Memorial Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457493454
PECOS PAC ID: 9638168602
Enrollment ID: O20040506001298
Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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. Nirali J Ghia 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
Nirali J Ghia, MD
4201 Winfield Rd Fl 4,
Warrenville, IL 60555-4025

Ph: (331) 221-6377
Nirali J Ghia, MD
1200 S York St Ste 2000,
Elmhurst, IL 60126-5634

Ph: (331) 221-9002

Reviews and Comments


Obstetrics & Gynecology Doctors in Elmhurst, IL

Dr. Shawn Michael Davies, M.D.
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Phone: 630-530-1501    Fax: 630-530-1908
Dr. William A Fitzmaurice Jr., M.D.
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Ms. Michelle Albovias, M.D.
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Practice Location: 1200 S York St Ste 3250, Elmhurst, IL 60126
Phone: 331-221-1700    Fax: 331-221-2729
Roger A Macduff, D O
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Medicare: Accepting Medicare Assignments
Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126
Phone: 331-221-9002    Fax: 331-221-2749
Dr. Janaki Nandam, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 133 E Brush Hill Rd Ste 400, Elmhurst, IL 60126
Phone: 630-432-6340    Fax: 630-873-8841
Dr. Evelyn E Chen, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 360 W Butterfield Rd, Suite 250, Elmhurst, IL 60126
Phone: 630-832-4210    Fax: 630-832-8110
Armando A San Juan, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 133 E Brush Hill Rd Ste 308, Elmhurst, IL 60126
Phone: 331-221-9006    Fax: 331-221-2734

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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