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DR. PARUL ANUP GHEEWALA M.D.
NPI 1255546560
Pathology - Anatomic Pathology in Jamaica, NY

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
15211 89TH AVE, JAMAICA, NY 11432(516) 741-5465 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Parul Anup Gheewala M.d. NPPES

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

DR. PARUL ANUP GHEEWALA M.D. (NPI 1255546560) is an individual anatomic pathology provider in Jamaica, New York, licensed in New York (181564) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1255546560
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. PARUL ANUP GHEEWALACredential: M.D.
Location Address15211 89TH AVEJamaica, NY 11432-3730
Mailing Address45 Barrypark CtAlbertson, NY 11507-1501 · (516) 741-5465
Phone(516) 741-5465
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMay 11, 2007
Last NPPES UpdateSeptember 19, 2007
✔ NPI 1255546560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in NY · 181564
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
15211 89TH AVE, Jamaica, NY 11432
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Other Identifiers 1

Medicare UPINF33948NY

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

Dr. Parul Anup Gheewala 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 ID3577642578
PECOS Enrollment IDI20080501000631
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.

Areas of Expertise CMS Part B claims 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
274 services118 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
124 services41 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
41 services24 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
36 services35 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
35 services34 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
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.

CATHOLIC MEDICAL CENTER OF BROOKLYN AND QUEENS
General Acute Care Hospital
15211 89TH AVE
JAMAICA, NY 11432
Queens County (718) 558-2000
DR. REVANORD PIERRE-LOUIS M.D.
Emergency Medicine
15211 89TH AVE
JAMAICA, NY 11432
Queens County (212) 563-2497
DR. ZUMAIRA FATIMA M.D.,
Internal Medicine (Geriatric Medicine)
15211 89TH AVE
JAMAICA, NY 11432
Queens County (718) 558-2000
ALFREDO WONG MD
Emergency Medicine
15211 89TH AVE, RM.#5100
JAMAICA, NY 11432
Queens County (212) 533-1701
DR. MALAYA SRIVASTAVA M.D.
Emergency Medicine
15211 89TH AVE
JAMAICA, NY 11432
Queens County (212) 563-2497
ALI SEID MIRHOSSEINI MD
Medical Genetics, Ph.D. Medical Genetics
15211 89TH AVE
JAMAICA, NY 11432
Queens County (718) 558-2463
DR. KIRAN DAVE M.D.
Emergency Medicine
15211 89TH AVE
JAMAICA, NY 11432
Queens County (718) 558-2115
CARITAS EMERGENCY MEDICAL SERVICES, PC
Emergency Medicine (Pediatric Emergency Medicine)
15211 89TH AVE, EMERGENCY ROOM
JAMAICA, NY 11432
Queens County (212) 563-2497

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 Parul Gheewala's NPI number?

The NPI number for Parul Gheewala is 1255546560. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Parul Gheewala located?

Parul Gheewala practices at 15211 89th Ave, Jamaica, NY 11432. The listed phone number is (516) 741-5465.

What is Parul Gheewala's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Parul Gheewala enrolled in Medicare?

Yes. Parul Gheewala 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.

Is Parul Gheewala affiliated with any hospitals?

According to CMS data, Parul Gheewala is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Parul Gheewala was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.