NIRALI J GHIA MD
NPI 1366492555
Obstetrics & Gynecology in Elmhurst, IL
About Nirali J Ghia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIRALI J GHIA MD (NPI 1366492555) is an individual obstetrics & gynecology provider in Elmhurst, Illinois, licensed in Illinois (036100496) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (1995).
NPPES Registry Identity
Specialties & Licenses
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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
Nirali J Ghia 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elmhurst Memorial Hospital
Acute Care Hospitals · Elmhurst, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60126 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.
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.
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 Nirali Ghia's NPI number?
The NPI number for Nirali Ghia is 1366492555. It was assigned to this individual provider in the NPPES registry on May 11, 2006.
Where is Nirali Ghia located?
Nirali Ghia practices at 1200 S York St Ste 2000, Elmhurst, IL 60126. The listed phone number is (331) 221-9002.
What is Nirali Ghia's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Nirali Ghia enrolled in Medicare?
Yes. Nirali Ghia 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 Nirali Ghia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nirali Ghia 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 Nirali Ghia affiliated with any hospitals?
According to CMS data, Nirali Ghia is affiliated with Elmhurst Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Nirali Ghia was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
