ASHISH ASHWIN GAJJAR MD
NPI 1538470562
Psychiatry & Neurology - Neurology in Edinburg, TX

Q: 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.

Q: What is Ashish Gajjar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Ashish Gajjar was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 24, 2010PECOS EnrolledAccepts Medicare Assignment

5501 S MCCOLL RD, EDINBURG, TX 78539(956) 362-6092(956) 362-6099 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Jul 23, 2021, Mar 31, 2021 and 4 more (7 updates tracked since 2016).

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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 and is a graduate of Other (2010).

NPPES Registry Identity

NPI1538470562

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameASHISH ASHWIN GAJJARCredential: MD

Location Address5501 S MCCOLL RDEdinburg, TX 78539-5503

Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-6092 · Fax (956) 362-6099

Phone(956) 362-6092

Fax(956) 362-6099

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 24, 2010

Last NPPES UpdateNovember 13, 20247 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1538470562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in TX · S2306

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

5501 S MCCOLL RD, Edinburg, TX 78539

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

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.

PECOS PAC ID5799901898

PECOS Enrollment IDI20170919003841, I20240909004174

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 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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

101 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services16 patients

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645

This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.

14 services14 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

12 services12 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

11 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Physician 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.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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 20

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

MR. ADOLFO ARTEAGA APRN-CNP

Nurse Practitioner (Acute Care)