DR. MANISH J GHARIA MD
NPI 1376565267
Dermatology in Brookfield, WI

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
13800 W NORTH AVE STE 100, BROOKFIELD, WI 53005(262) 754-4940(262) 754-4940 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, Jul 29, 2024, Jan 21, 2022 and 1 more (4 updates tracked since 2016).

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

NPI1376565267
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MANISH J GHARIACredential: MD
Location Address13800 W NORTH AVE STE 100Brookfield, WI 53005-4977
Mailing Address765 Safer CtBrookfield, WI 53045-6783 · (414) 313-0255
Fax(262) 754-4940
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1996
Enumeration DateJuly 23, 2006
Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1376565267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WI · 39577
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 39577 (WI)
13800 W NORTH AVE STE 100, Brookfield, WI 53005

Secondary Practice Location 1

Location 11 Hospital RdOak Bluffs, MA 02557-1406 · Phone (508) 693-0410

Other Identifiers 1

Medicaid1376565267WI

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

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.

PECOS PAC ID1456241322
PECOS Enrollment IDI20040316001158
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.

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, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 6

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

Dermatology
13800 W NORTH AVE STE 100
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE STE 100
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE STE 100
BROOKFIELD, WI 53005
Physician Assistant
13800 W NORTH AVE STE 100
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE STE 100
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE STE 100
BROOKFIELD, WI 53005

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.

What insurance does Manish Gharia accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare Health Plans and Quartz 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 22 months 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.