DR. HEMAL GADA MD
NPI 1386852390
Internal Medicine - Cardiovascular Disease in Wormleysburg, PA

Q: What is Hemal Gada's NPI number?

The NPI number for Hemal Gada is 1386852390. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Hemal Gada's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hemal Gada was last updated on January 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment

78.97/100

CMS Quality Rating

1000 N FRONT ST, WORMLEYSBURG, PA 17043(717) 731-0101(717) 731-8539 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2021, Jun 9, 2020, May 13, 2019 and 3 more (6 updates tracked since 2015).

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About Dr. Hemal Gada Md NPPES

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

DR. HEMAL GADA MD (NPI 1386852390) is an individual cardiovascular disease provider in Wormleysburg, Pennsylvania, licensed in Pennsylvania (MD456155) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of University Of Michigan Medical School (2005).

NPPES Registry Identity

NPI1386852390

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. HEMAL GADACredential: MD

Location Address1000 N FRONT STWormleysburg, PA 17043-1021

Mailing Address1000 N Front StWormleysburg, PA 17043-1021

Phone(717) 731-0101

Fax(717) 731-8539

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2005

Enumeration DateMay 21, 2007

Last NPPES UpdateJanuary 2, 20216 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2021

✔ NPI 1386852390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD456155

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.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD456155 (PA)

1000 N FRONT ST, Wormleysburg, PA 17043

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Other Identifiers 1

Medicaid103056503PA

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. Hemal Gada 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 ID4880769728

PECOS Enrollment IDI20151014000740

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.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

184 services164 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

106 services94 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

101 services101 patients

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.

74 services34 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

71 services70 patients

Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist 93456

This procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.

47 services47 patients

Repair of left upper heart chamber with implant with review by radiologist 33340

This is a procedure to fix a problem in your left upper heart chamber. An implant is used to correct the issue. After the procedure, a radiologist, a doctor who specializes in medical imaging, reviews the images to ensure everything is in order.

45 services45 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.

33 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services25 patients

Repair of mitral valve through the skin, initial prosthesis 33418

This procedure, known as Transcatheter Mitral Valve Repair (TMVR), involves a small tube inserted through your skin into a blood vessel. A device is then guided to your heart to repair the mitral valve, using an initial prosthesis. This is a less invasive alternative to open-heart surgery.

13 services13 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

13 services12 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

12 services12 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390058

Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County

Emergency services Birthing friendly

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390062

Location105 Nason DriveRoaring Spring, PA 16673 · Blair County

Emergency services

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

78.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.63

Promoting Interoperability

100

Improvement Activities

Cost

63.26

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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.

DR. NANCY LECOMPTE RADTKE MD

Internal Medicine (Cardiovascular Disease)

1000 N FRONT ST
WORMLEYSBURG, PA 17043

Cumberland County (717) 731-0101

DR. CLEON R HUBBARD MD

Internal Medicine (Cardiovascular Disease)

1000 N FRONT ST
WORMLEYSBURG, PA 17043

Cumberland County (717) 731-0101

DR. GOUTHAMI BOGA MD

Internal Medicine (Cardiovascular Disease)

1000 N FRONT ST
WORMLEYSBURG, PA 17043

Cumberland County (717) 731-0101

KUNAL N BODIWALA MD

Internal Medicine (Cardiovascular Disease)

1000 N FRONT ST
WORMLEYSBURG, PA 17043

Cumberland County (717) 731-0101

SHWETA AGGARWAL MD

Internal Medicine (Cardiovascular Disease)

1000 N FRONT ST
WORMLEYSBURG, PA 17043

Cumberland County (717) 731-0101

MS. JESSICA L ROOT PA-C

Physician Assistant (Medical)

1000 N FRONT ST
WORMLEYSBURG, PA 17043

Cumberland County (717) 731-0101

MOFFITT HEART AND VASCULAR GROUP INC.

Internal Medicine (Cardiovascular Disease)

1000 N FRONT ST, SUITE 200
WORMLEYSBURG, PA 17043

Cumberland County (717) 731-0101

DR. TIMOTHY P WALSH MD

Internal Medicine (Cardiovascular Disease)

1000 N FRONT ST
WORMLEYSBURG, PA 17043

Cumberland County (717) 731-0101

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 Hemal Gada's NPI number?

The NPI number for Hemal Gada is 1386852390. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Hemal Gada located?

Hemal Gada practices at 1000 N Front St, Wormleysburg, PA 17043. The listed phone number is (717) 731-0101.

What is Hemal Gada's specialty?

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

Is Hemal Gada enrolled in Medicare?

Yes. Hemal Gada 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.

Is Hemal Gada affiliated with any hospitals?

According to CMS data, Hemal Gada is affiliated with Penn Highlands Huntingdon, Upmc Carlisle, Conemaugh Nason Medical Center, Upmc Pinnacle Hospitals and Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Hemal Gada was last updated on January 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.