ASHUL GOVIL M.D.
NPI 1316189053
Internal Medicine - Cardiovascular Disease in Antioch, CA

Active since March 26, 2009PECOS EnrolledAccepts Medicare Assignment
4053 LONE TREE WAY, SUITE 200, ANTIOCH, CA 94531(925) 776-7725 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ashul Govil M.d. NPPES

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

ASHUL GOVIL M.D. (NPI 1316189053) is an individual cardiovascular disease provider in Antioch, California, licensed in California (A126257) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2009).

NPPES Registry Identity

NPI1316189053
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameASHUL GOVILCredential: M.D.
Location Address4053 LONE TREE WAY, SUITE 200Antioch, CA 94531-6210
Mailing Address3687 Mt Diablo Blvd, Suite 200Lafayette, CA 94549-3717
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2009
Enumeration DateMarch 26, 2009
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1316189053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A126257
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4053 LONE TREE WAY, Antioch, CA 94531

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

Ashul Govil 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 ID3173819919
PECOS Enrollment IDI20160906000429
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

4

Medicare enrollment records show Ashul Govil reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
Clinic/Center
201 MISSION ST STE 2900
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
Medical Specialty
201 MISSION ST STE 2900
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
Medical Specialty
201 MISSION ST STE 2900
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94531 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers14 claims14 services$9.73 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers24 claims24 services$26.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Podiatrist (Foot Surgery)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Internal Medicine (Cardiovascular Disease)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Obstetrics & Gynecology
4053 LONE TREE WAY, #101
ANTIOCH, CA 94531
Pediatrics
4053 LONE TREE WAY
ANTIOCH, CA 94531
Pediatrics
4053 LONE TREE WAY, SUITE 101
ANTIOCH, CA 94531
Nurse Practitioner (Family)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Family Medicine
4053 LONE TREE WAY
ANTIOCH, CA 94531
Registered Nurse (Diabetes Educator)
4053 LONE TREE WAY
ANTIOCH, CA 94531

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 Ashul Govil's NPI number?

The NPI number for Ashul Govil is 1316189053. It was assigned to this individual provider in the NPPES registry on March 26, 2009.

Where is Ashul Govil located?

Ashul Govil practices at 4053 Lone Tree Way Suite 200, Antioch, CA 94531. The listed phone number is (925) 776-7725.

What is Ashul Govil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ashul Govil enrolled in Medicare?

Yes. Ashul Govil 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 Ashul Govil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashul Govil reassigns Medicare benefits to 4 organizations: Sutter Bay Medical Foundation (Orinda, CA), Story Health Partners (San Francisco, CA), Story Health Partners LLC (San Francisco, CA) and Story Health Partners Of Nj LLC (San Francisco, CA). 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 Ashul Govil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashul Govil was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.