DR. AJAY GHAI D.P.M
NPI 1346637576
Podiatrist - Foot & Ankle Surgery in Visalia, CA

Active since April 26, 2015PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
5400 W HILLSDALE AVE, VISALIA, CA 93291(559) 738-7500(559) 734-2055 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Aug 7, 2019, Feb 28, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Ajay Ghai D.p.m NPPES

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

DR. AJAY GHAI D.P.M (NPI 1346637576) is an individual foot & ankle surgery provider in Visalia, California, licensed in California (E5504) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boardman, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1346637576
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. AJAY GHAICredential: D.P.M
Location Address5400 W HILLSDALE AVEVisalia, CA 93291-8222
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 626-6161 · Fax (419) 502-3511
Fax(559) 734-2055
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 26, 2015
Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration
✔ NPI 1346637576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5504
Also ListedPodiatristTaxonomy 213E00000X · License 36.003877 (OH)
5400 W HILLSDALE AVE, Visalia, CA 93291

Secondary Practice Location 1

Location 18175 Market StBoardman, OH 44512-6244 · Phone (330) 629-8800 · Fax (330) 758-4914

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

Dr. Ajay Ghai D.p.m 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 ID648586503
PECOS Enrollment IDI20190904002846
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 Ajay Ghai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier19 claims19 services$251.85 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 20

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

Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Internal Medicine
5400 W HILLSDALE AVE
VISALIA, CA 93291
Orthopaedic Surgery
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Nurse Practitioner
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Podiatrist
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291

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 Ajay Ghai's NPI number?

The NPI number for Ajay Ghai is 1346637576. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Where is Ajay Ghai located?

Ajay Ghai practices at 5400 W Hillsdale Ave, Visalia, CA 93291. The listed phone number is (559) 738-7500.

What is Ajay Ghai's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ajay Ghai enrolled in Medicare?

Yes. Ajay Ghai 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 Ajay Ghai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Ghai reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). 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 Ajay Ghai'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 Ajay Ghai was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.