GIRISH HIMMATLAL RIBADIYA M.D.
NPI 1396034153
Internal Medicine in Canonsburg, PA
About Girish Himmatlal Ribadiya M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIRISH HIMMATLAL RIBADIYA M.D. (NPI 1396034153) is an individual internal medicine provider in Canonsburg, Pennsylvania, licensed in Pennsylvania (MD443189) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Girish Himmatlal Ribadiya M.d. 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
8Medicare enrollment records show Girish Ribadiya reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canonsburg, PA 15317
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Canonsburg, PA 15317
- Reassigned Medicare billing, Pennsylvania enrollment
- 110 clinicians in this Medicare group
Pittsburgh, PA 15243
- Reassigned Medicare billing, Pennsylvania enrollment
- 133 clinicians in this Medicare group
Carnegie, PA 15106
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Monongahela, PA 15063
- Reassigned Medicare billing, Pennsylvania enrollment
- 29 clinicians in this Medicare group
Monongahela, PA 15063
- Reassigned Medicare billing, Pennsylvania enrollment
- 59 clinicians in this Medicare group
Grindstone, PA 15442
- Reassigned Medicare billing, Pennsylvania enrollment
- 398 clinicians in this Medicare group
Connellsville, PA 15425
- Reassigned Medicare billing, Pennsylvania enrollment
- 155 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.
Areas of Expertise CMS Part B claims 6
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Jameson
Acute Care Hospitals · New Castle, PAUpmc St Margaret
Acute Care Hospitals · Pittsburgh, PAUpmc Passavant
Acute Care Hospitals · Pittsburgh, PAPenn Highlands Mon Valley
Acute Care Hospitals · Monongahela, PASt Clair Hospital
Acute Care Hospitals · Pittsburgh, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15317 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CANONSBURG, PA 15317
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 Girish Ribadiya's NPI number?
The NPI number for Girish Ribadiya is 1396034153. It was assigned to this individual provider in the NPPES registry on April 1, 2011. The provider is also known as Girishkumar Himatlal Patel.
Where is Girish Ribadiya located?
Girish Ribadiya practices at 100 Medical Blvd, Canonsburg, PA 15317. The listed phone number is (412) 359-3030.
What is Girish Ribadiya's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Girish Ribadiya enrolled in Medicare?
Yes. Girish Ribadiya 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 Girish Ribadiya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Girish Ribadiya reassigns Medicare benefits to 8 organizations: Allegheny Clinic (Canonsburg, PA), Preferred Primary Care Physicians, Inc. (Canonsburg, PA), St Clair Professional Services Inc (Pittsburgh, PA), University Of Pittsburgh Physicians (Carnegie, PA), Monongahela Valley Hospital, Inc. (Monongahela, PA) and 3 more organizations, listed in the Medicare section above. 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 Girish Ribadiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Girish Ribadiya accept?
Health plans from CareSource list Girish Ribadiya 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 Girish Ribadiya affiliated with any hospitals?
According to CMS data, Girish Ribadiya is affiliated with Upmc Jameson, Upmc St Margaret, Upmc Passavant, Penn Highlands Mon Valley and St Clair Hospital.
When was this NPI record last updated?
The NPPES record for Girish Ribadiya was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Girish Himmatlal Ribadiya, M.D. · NPI 1396034153
Internal Medicine physician in Canonsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 1, 2011.
## Identity
- **NPI:** 1396034153 (Entity type: Individual)
- **Enumerated:** April 1, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD443189 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 MEDICAL BLVD, Canonsburg, PA 15317-9762
- **Phone:** (412) 359-3030 · **Fax:** (412) 359-3060
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1316373467, Canonsburg, PA); Preferred Primary Care Physicians, Inc. (NPI 1407826019, Canonsburg, PA); St Clair Professional Services Inc (NPI 1326712050, Pittsburgh, PA); University Of Pittsburgh Physicians (NPI 1053595942, Carnegie, PA); Monongahela Valley Hospital, Inc. (NPI 1467308957, Monongahela, PA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** October 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1396034153) · Data from the CMS NPPES public registry.