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GATR-ALNADA GHERIANI M.D.
NPI 1083029979
Internal Medicine - Rheumatology in Baltimore, MD

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
99.37/100
CMS Quality Rating
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218(410) 554-4393(410) 554-2184 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2023, Jul 21, 2022, Sep 24, 2017 (3 updates tracked since 2017).

About Gatr-alnada Gheriani M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATR-ALNADA GHERIANI M.D. (NPI 1083029979) is an individual rheumatology provider in Baltimore, Maryland, licensed in Iowa (MD-48608) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1083029979
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameGATR-ALNADA GHERIANICredential: M.D.
Location Address201 E UNIVERSITY PKWYBaltimore, MD 21218-2829
Mailing Address201 E University PkwyBaltimore, MD 21218-2829 · (410) 554-4393 · Fax (410) 554-2184
Phone(410) 554-4393
Fax(410) 554-2184
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2023
Enumeration DateJune 30, 2014
Last NPPES UpdateNovember 10, 20233 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1083029979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IA · MD-48608
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD-48608 (IA), D83744 (MD)
201 E UNIVERSITY PKWY, Baltimore, MD 21218
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 384-3010 · Fax (319) 356-8133

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gatr-alnada Gheriani M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678847092
PECOS Enrollment IDI20231004003204
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gatr-alnada Gheriani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rheumatology Associates, PC
747 mi
Rheumatology
2979 VICTORIA ST
Bettendorf, IA 52722
  • Reassigned Medicare billing, Iowa enrollment
  • 5 clinicians in this Medicare group
NPI 1851578868 (563) 359-4440
State University Of Iowa
748 mi
Dermatology
865 LINCOLN RD
Bettendorf, IA 52722
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
NPI 1972955169 (563) 344-2240

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services71 patients
Red blood cell sedimentation rate, to detect inflammation, non-automated 85651
The Red Blood Cell Sedimentation Rate test measures how quickly red blood cells settle at the bottom of a test tube. If they settle faster than normal, it may indicate inflammation in the body. This test is non-automated, meaning it's manually performed by a lab technician.
80 services42 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
74 services41 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
69 services40 patients
Albumin (protein) level 82040
The Albumin Level test measures the amount of albumin, a vital protein made by the liver, in your blood. This protein helps keep fluid in your bloodstream so it doesn't leak into other tissues. It's also vital for tissue growth and healing. Low or high levels can indicate certain health issues.
68 services40 patients
Liver enzyme (sgot), level 84450
A Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.
68 services40 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality95.69
Promoting Interoperability98.95
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONAK K PATEL M.D.
Internal Medicine
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (410) 554-2000
MRS. LINDSAY NICOLE ROYAL BUSSEY CRNP
Nurse Practitioner (Family)
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (855) 633-0199
ISHA SHARAN MD
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (410) 554-2284
DR. MIRIAM L COHEN M.D.
Internal Medicine (Cardiovascular Disease)
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (410) 554-2000
TAYYAB AHSAN TANVIR MBBS
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Baltimore City (410) 554-2284
DR. CALVIN THOMAS WILLIAMS JR. M.D. / PH.D
Internal Medicine (Infectious Disease)
201 E UNIVERSITY PKWY, DEPT OF MEDICINE MEDSTAR UNION MEMORIAL HOSPITAL
BALTIMORE, MD 21218
Baltimore City (443) 474-9911
DAMIEN I SEQUEIRA M.D.
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY, DEPT. OF SURGERY
BALTIMORE, MD 21218
Baltimore City (410) 554-2782
DAVID AARON WEINER M.D.
Orthopaedic Surgery
201 E UNIVERSITY PKWY, DEPARTMENT OF ORTHOPAEDIC SURGERY
BALTIMORE, MD 21218
Baltimore City (410) 554-2270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gatr-alnada Gheriani's NPI number?

The NPI number for Gatr-alnada Gheriani is 1083029979. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Gatr-alnada Gheriani located?

Gatr-alnada Gheriani practices at 201 E University Pkwy, Baltimore, MD 21218. The listed phone number is (410) 554-4393.

What is Gatr-alnada Gheriani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gatr-alnada Gheriani enrolled in Medicare?

Yes. Gatr-alnada Gheriani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gatr-alnada Gheriani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gatr-alnada Gheriani reassigns Medicare benefits to 2 organizations: Rheumatology Associates, PC (Bettendorf, IA) and State University Of Iowa (Bettendorf, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gatr-alnada Gheriani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gatr-alnada Gheriani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Gatr-alnada Gheriani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gatr-alnada Gheriani affiliated with any hospitals?

According to CMS data, Gatr-alnada Gheriani is affiliated with University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Gatr-alnada Gheriani was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.