ASHISH ASHWIN GAJJAR MD
NPI 1538470562
Psychiatry & Neurology - Neurology in Edinburg, TX
About Ashish Ashwin Gajjar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHISH ASHWIN GAJJAR MD (NPI 1538470562) is an individual neurology provider in Edinburg, Texas, licensed in Texas (S2306) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Saint Thomas Rutherford Hospital, and maintains a secondary practice location in Des Moines.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Ashish Ashwin Gajjar 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 Ashish Gajjar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 219 clinicians in this Medicare group
Murfreesboro, TN 37129
- Reassigned Medicare billing, Tennessee enrollment
- 18 clinicians in this Medicare group
Bakersfield, CA 93306
- Reassigned Medicare billing, California enrollment
- 532 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Redding, CA 96001
- Reassigned Medicare billing, California enrollment
- 14 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Thomas Rutherford Hospital
Acute Care Hospitals · Murfreesboro, TNDoctors Hosptal At Renaissance
Acute Care Hospitals · Edinburg, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78539 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINBURG, TX 78539
EDINBURG, TX 78539
EDINBURG, TX 78539
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 Ashish Gajjar's NPI number?
The NPI number for Ashish Gajjar is 1538470562. It was assigned to this individual provider in the NPPES registry on June 24, 2010.
Where is Ashish Gajjar located?
Ashish Gajjar practices at 5501 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 362-6092.
What is Ashish Gajjar's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Ashish Gajjar enrolled in Medicare?
Yes. Ashish Gajjar 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 Ashish Gajjar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashish Gajjar reassigns Medicare benefits to 5 organizations: Renaissance Medical Foundation (Edinburg, TX), Barfield Physician Services, PC (Murfreesboro, TN), Kern County Hospital Authority (Bakersfield, CA), Sutter Bay Medical Foundation (Sacramento, CA) and Pacific Interventional Neurosciences (Redding, CA). 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 Ashish Gajjar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashish Gajjar accept?
Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Insurance Company list Ashish Gajjar 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 Ashish Gajjar affiliated with any hospitals?
According to CMS data, Ashish Gajjar is affiliated with Saint Thomas Rutherford Hospital and Doctors Hosptal At Renaissance.
When was this NPI record last updated?
The NPPES record for Ashish Gajjar was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.
# Ashish Ashwin Gajjar, MD · NPI 1538470562
Neurology physician in Edinburg, Texas. Individual provider, active in the CMS NPPES registry since June 24, 2010.
## Identity
- **NPI:** 1538470562 (Entity type: Individual)
- **Enumerated:** June 24, 2010
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** S2306 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 S MCCOLL RD, Edinburg, TX 78539-5503
- **Phone:** (956) 362-6092 · **Fax:** (956) 362-6099
## 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): Renaissance Medical Foundation (NPI 1467633867, Edinburg, TX); Barfield Physician Services, PC (NPI 1922844596, Murfreesboro, TN); Kern County Hospital Authority (NPI 1376623538, Bakersfield, CA); Sutter Bay Medical Foundation (NPI 1003267196, Sacramento, CA); Pacific Interventional Neurosciences (NPI 1427735612, Redding, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538470562) · Data from the CMS NPPES public registry.