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DR. BHAILAL GOKALBHAI GONDALIA M.D.
NPI 1568400976
Internal Medicine - Pulmonary Disease in Parkersburg, WV

Active since June 04, 2006PECOS Enrolled
19.75/100
CMS Quality Rating
600 18TH ST STE 111, PARKERSBURG, WV 26101(304) 424-4618(304) 424-4846 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bhailal Gokalbhai Gondalia M.d. NPPES

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

DR. BHAILAL GOKALBHAI GONDALIA M.D. (NPI 1568400976) is an individual pulmonary disease provider in Parkersburg, West Virginia, licensed in West Virginia (16592) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568400976
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BHAILAL GOKALBHAI GONDALIACredential: M.D.
Location Address600 18TH ST STE 111Parkersburg, WV 26101-3236
Mailing Address600 18th St, Suite 111Parkersburg, WV 26101-3231 · (304) 424-4618 · Fax (304) 424-4846
Phone(304) 424-4618
Fax(304) 424-4846
Sole ProprietorYes
Enumeration DateJune 4, 2006
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1568400976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WV · 16592
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
600 18TH ST STE 111, Parkersburg, WV 26101
Open in Google Maps ↗

Other Identifiers 6

Other161461800WV · Wv Workers Comp
Medicaid0073853000WV
Other550708689-00OH · Oh Workers Comp
Other0693122WV · Medicare Id
Medicaid0827770OH
Other0693121WV · Medicare Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bhailal Gokalbhai Gondalia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

19.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost65.83

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%997 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%472 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%107 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers33 claims66 services$1.39 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
8 suppliers19 claims19 services$13.38 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers12 claims12 services$61.98 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers12 claims12 services$20.32 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers11 claims51 services$2.60 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers80 claims80 services$17.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Bhailal Gondalia's NPI number?

The NPI number for Bhailal Gondalia is 1568400976. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Bhailal Gondalia located?

Bhailal Gondalia practices at 600 18th St Ste 111, Parkersburg, WV 26101. The listed phone number is (304) 424-4618.

What is Bhailal Gondalia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Bhailal Gondalia enrolled in Medicare?

Yes. Bhailal Gondalia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bhailal Gondalia was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.