DR. MANISH J GHARIA MD
NPI 1376565267
Dermatology in Brookfield, WI
About Dr. Manish J Gharia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MANISH J GHARIA MD (NPI 1376565267) is an individual dermatology provider in Brookfield, Wisconsin, licensed in Wisconsin (39577) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Martha's Vineyard Hospital Inc, and maintains a secondary practice location in Oak Bluffs.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Dr. Manish J Gharia 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.
Medicare Billing Reassignments
5Medicare enrollment records show Manish Gharia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wauwatosa, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 2 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Lake Geneva, WI 53147
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1669685129 (Wisconsin)
- 271 clinicians in this Medicare group
Darlington, WI 53530
- Reassigned Medicare billing, Wisconsin enrollment
- 175 clinicians in this Medicare group
Oak Bluffs, MA 02557
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1194866210 (Massachusetts)
- 184 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Martha's Vineyard Hospital Inc
Critical Access Hospitals · Oak Bluffs, MAMercy Health System Corp
Acute Care Hospitals · Janesville, WISouthwest Health Center
Critical Access Hospitals · Platteville, WIMercy Walworth Hospital & Medical Center
Critical Access Hospitals · Lake Geneva, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
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 Manish Gharia's NPI number?
The NPI number for Manish Gharia is 1376565267. It was assigned to this individual provider in the NPPES registry on July 23, 2006.
Where is Manish Gharia located?
Manish Gharia practices at 13800 W North Ave Ste 100, Brookfield, WI 53005. The listed phone number is (262) 754-4940.
What is Manish Gharia's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Manish Gharia enrolled in Medicare?
Yes. Manish Gharia 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 Manish Gharia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manish Gharia reassigns Medicare benefits to 5 organizations: Dermavation, S.C. (Wauwatosa, WI), Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI), Mercy Health System Corporation (Lake Geneva, WI), Southwest Health Center, Inc. (Darlington, WI) and Martha's Vineyard Hospital, Inc. (Oak Bluffs, MA). 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 Manish Gharia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Manish Gharia accept?
Health plans from Dean Health Plan, MercyCare and MercyCare Health Plans list Manish Gharia 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 Manish Gharia affiliated with any hospitals?
According to CMS data, Manish Gharia is affiliated with Martha's Vineyard Hospital Inc, Mercy Health System Corp, Southwest Health Center and Mercy Walworth Hospital & Medical Center.
When was this NPI record last updated?
The NPPES record for Manish Gharia was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Manish J Gharia, MD · NPI 1376565267
Dermatology physician in Brookfield, Wisconsin. Individual provider, active in the CMS NPPES registry since July 23, 2006.
## Identity
- **NPI:** 1376565267 (Entity type: Individual)
- **Enumerated:** July 23, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 39577 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 13800 W NORTH AVE STE 100, Brookfield, WI 53005-4977
- **Phone:** (262) 754-4940 · **Fax:** (262) 754-4940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Dermavation, S.C. (NPI 1013197862, Wauwatosa, WI); Columbia St. Mary's Hospital Milwaukee Inc (NPI 1225071491, Milwaukee, WI); Mercy Health System Corporation (NPI 1699728550, Lake Geneva, WI); Southwest Health Center, Inc. (NPI 1811511272, Darlington, WI); Martha's Vineyard Hospital, Inc. (NPI 1134206386, Oak Bluffs, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 1996
## Record status
- **NPPES last updated:** October 1, 2024
- **Other identifiers:** Medicaid 1376565267 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1376565267) · Data from the CMS NPPES public registry.