SHEFALI RAJENDRA GAJJAR MD
NPI 1245674035
Radiology - Diagnostic Radiology in Doylestown, PA

Q: What is Shefali Gajjar's NPI number?

The NPI number for Shefali Gajjar is 1245674035. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Q: What is Shefali Gajjar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Shefali Gajjar was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 23, 2013PECOS EnrolledAccepts Medicare Assignment

599 WEST STATE STREET, STE 103, DOYLESTOWN, PA 18901(267) 880-2710(215) 340-3575 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Shefali Rajendra Gajjar Md NPPES

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

SHEFALI RAJENDRA GAJJAR MD (NPI 1245674035) is an individual diagnostic radiology provider in Doylestown, Pennsylvania, licensed in Pennsylvania (MD464161) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Grand View Health, and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1245674035

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameSHEFALI RAJENDRA GAJJARCredential: MD

Location Address599 WEST STATE STREET, STE 103Doylestown, PA 18901-2567

Mailing Address599 West State Street, Ste 103Doylestown, PA 18901-2567 · (267) 880-2710 · Fax (215) 340-3575

Phone(267) 880-2710

Fax(215) 340-3575

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013

Enumeration DateApril 23, 2013

Last NPPES UpdateSeptember 10, 2021

NPPES CertifiedSeptember 10, 2021

✔ NPI 1245674035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in PA · MD464161

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

599 WEST STATE STREET, Doylestown, PA 18901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Shefali Rajendra Gajjar 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.

PECOS PAC ID5991051633

PECOS Enrollment IDI20180710003174

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 Shefali Gajjar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn - Medical Group

0.1 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

595 W STATE ST STE 207
Doylestown, PA 18901

Reassigned Medicare billing, Pennsylvania enrollment
3,488 clinicians in this Medicare group

NPI 1538056163 (215) 345-2100

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 18

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.

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

984 services72 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

297 services82 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

229 services84 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

211 services99 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

134 services114 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

98 services96 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

70 services70 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

59 services51 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

51 services50 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

49 services45 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

45 services42 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

30 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Complex radiation therapy planning for delivery of external radiation 77307

Complex radiation therapy planning involves creating a detailed plan to deliver targeted radiation doses. The process includes imaging scans to identify the area needing treatment, and designing a specific radiation plan to protect healthy tissue while effectively treating the disease.

19 services19 patients

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.

19 services18 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

17 services17 patients

Obtaining respiratory data needed to develop the optimal radiation treatment 77293

Obtaining respiratory data is vital for optimal radiation treatment. This involves tracking your breathing patterns to ensure the precise delivery of radiation to the target area, minimizing damage to healthy tissue. It's a non-invasive process and contributes to effective treatment.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390203

Location595 West State StDoylestown, PA 18901 · Bucks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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 Shefali Gajjar's NPI number?

The NPI number for Shefali Gajjar is 1245674035. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Shefali Gajjar located?

Shefali Gajjar practices at 599 West State Street Ste 103, Doylestown, PA 18901. The listed phone number is (267) 880-2710.

What is Shefali Gajjar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shefali Gajjar enrolled in Medicare?

Yes. Shefali Gajjar 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 Shefali Gajjar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shefali Gajjar reassigns Medicare benefits to University Of Penn - Medical Group (Doylestown, PA). 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 Shefali Gajjar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shefali Gajjar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shefali Gajjar 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 Shefali Gajjar affiliated with any hospitals?

According to CMS data, Shefali Gajjar is affiliated with Grand View Health, Hospital Of Univ Of Pennsylvania, Chester County Hospital and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Shefali Gajjar was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.