KINJAL PRAKASH GADHIYA MD
NPI 1205330545
Internal Medicine in Frisco, TX
About Kinjal Prakash Gadhiya Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINJAL PRAKASH GADHIYA MD (NPI 1205330545) is an individual internal medicine provider in Frisco, Texas, licensed in Texas (T5111) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kinjal Prakash Gadhiya Md 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kinjal Gadhiya's NPI number?
The NPI number for Kinjal Gadhiya is 1205330545. It was assigned to this individual provider in the NPPES registry on March 21, 2018.
Where is Kinjal Gadhiya located?
Kinjal Gadhiya practices at 5444 Fm 423 Ste 600, Frisco, TX 75036. The listed phone number is (945) 312-2180.
What is Kinjal Gadhiya's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kinjal Gadhiya enrolled in Medicare?
Yes. Kinjal Gadhiya 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.
What insurance does Kinjal Gadhiya accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Kinjal Gadhiya 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 Kinjal Gadhiya was last updated on August 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
