ROMY GHOSH M.D.
NPI 1124465208
Obstetrics & Gynecology in Austin, TX

Active since May 29, 2013PECOS EnrolledAccepts Medicare Assignment
12174 N MOPAC EXPY STE A, AUSTIN, TX 78758(512) 942-6629(512) 406-6202 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2018, Mar 17, 2018, Jun 21, 2017 (3 updates tracked since 2017).

About Romy Ghosh M.d. NPPES

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

ROMY GHOSH M.D. (NPI 1124465208) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (R2597) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124465208
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameROMY GHOSHCredential: M.D.
Location Address12174 N MOPAC EXPY STE AAustin, TX 78758-2910
Mailing Address4515 Seton Center Pkwy Ste 215Austin, TX 78759-5785
Fax(512) 406-6202
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 29, 2013
Last NPPES UpdateNovember 21, 20183 updates tracked since enumeration
✔ NPI 1124465208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · R2597
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
12174 N MOPAC EXPY STE A, Austin, TX 78758

Other Identifiers 2

Medicaid374308001TX
Medicaid374308002TX

Accepted 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

Romy Ghosh 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 ID4486925336
PECOS Enrollment IDI20170810001941
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 Reassignment

Medicare enrollment records show Romy Ghosh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
6210 E US HWY 290, SUITE 420 - CREDENTIALING
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • 461 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Advanced Practice Midwife
12174 N MOPAC EXPY STE A
AUSTIN, TX 78758
Nurse Practitioner (Family)
12174 N MOPAC EXPY STE A
AUSTIN, TX 78758
Nurse Practitioner
12174 N MOPAC EXPY STE A
AUSTIN, TX 78758
Social Worker (Clinical)
12174 N MOPAC EXPY STE A
AUSTIN, TX 78758
Social Worker (Clinical)
12174 N MOPAC EXPY STE A
AUSTIN, TX 78758
Nurse Practitioner (Psychiatric/Mental Health)
12174 N MOPAC EXPY STE A
AUSTIN, TX 78758
Advanced Practice Midwife
12174 N MOPAC EXPY STE A
AUSTIN, TX 78758
Nurse Practitioner (Psychiatric/Mental Health)
12174 N MOPAC EXPY STE A
AUSTIN, TX 78758

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 Romy Ghosh's NPI number?

The NPI number for Romy Ghosh is 1124465208. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Romy Ghosh located?

Romy Ghosh practices at 12174 N Mopac Expy Ste A, Austin, TX 78758. The listed phone number is (512) 942-6629.

What is Romy Ghosh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Romy Ghosh enrolled in Medicare?

Yes. Romy Ghosh 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 organization bills Medicare for Romy Ghosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Romy Ghosh reassigns Medicare benefits to Austin Regional Clinic, PA (Austin, TX). The 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 Romy Ghosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Romy Ghosh accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Romy Ghosh 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.

When was this NPI record last updated?

The NPPES record for Romy Ghosh was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.