DHAIRYASHEEL GHOSALKAR
NPI 1699331256
Internal Medicine - Cardiovascular Disease in Newton, NJ

Active since May 19, 2019PECOS EnrolledAccepts Medicare Assignment
222 HIGH ST STE 205, NEWTON, NJ 07860(973) 579-2100 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2025, Jul 1, 2024, May 19, 2019 (3 updates tracked since 2019).

About Dhairyasheel Ghosalkar NPPES

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

DHAIRYASHEEL GHOSALKAR (NPI 1699331256) is an individual cardiovascular disease provider in Newton, New Jersey, licensed in New Jersey (25MA12594900) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699331256
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDHAIRYASHEEL GHOSALKAR
Location Address222 HIGH ST STE 205Newton, NJ 07860-9605
Mailing Address222 High St Ste 205Newton, NJ 07860-9605 · (973) 579-2100
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 19, 2019
Last NPPES UpdateMay 9, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1699331256 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 NJ · 25MA12594900
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 MedicineTaxonomy 207R00000X · License 326958 (NY)
222 HIGH ST STE 205, Newton, NJ 07860

Secondary Practice Locations 2

Location 1Suny Stony Brook Hospital Dept Of Medicine Hsc Lvl 16Stony Brook, NY 11794-4923 · Phone (631) 444-2058 · Fax (631) 444-2493
Location 2259 1st St Rm 291Mineola, NY 11501-3957 · Phone (516) 663-8963 · Fax (516) 663-8964

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

Dhairyasheel Ghosalkar 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 ID6709119563
PECOS Enrollment IDI20250612002782, I20250912002286
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dhairyasheel Ghosalkar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 429 clinicians in this Medicare group
Legal Medicine
100 MADISON AVE
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 161 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 2

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.

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.
312 services186 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Medical)
222 HIGH ST STE 205
NEWTON, NJ 07860
Nurse Practitioner (Family)
222 HIGH ST STE 205
NEWTON, NJ 07860
Internal Medicine (Cardiovascular Disease)
222 HIGH ST STE 205
NEWTON, NJ 07860

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 Dhairyasheel Ghosalkar's NPI number?

The NPI number for Dhairyasheel Ghosalkar is 1699331256. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Where is Dhairyasheel Ghosalkar located?

Dhairyasheel Ghosalkar practices at 222 High St Ste 205, Newton, NJ 07860. The listed phone number is (973) 579-2100.

What is Dhairyasheel Ghosalkar's specialty?

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

Is Dhairyasheel Ghosalkar enrolled in Medicare?

Yes. Dhairyasheel Ghosalkar 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 Dhairyasheel Ghosalkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhairyasheel Ghosalkar reassigns Medicare benefits to 2 organizations: The Radiology Group Of New Jersey, LLC (Hackettstown, NJ) and Cardiovascular Health Consultants, P.A. (Morristown, NJ). 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 Dhairyasheel Ghosalkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhairyasheel Ghosalkar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Dhairyasheel Ghosalkar 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 Dhairyasheel Ghosalkar affiliated with any hospitals?

According to CMS data, Dhairyasheel Ghosalkar is affiliated with Morristown Medical Center, Newton Medical Center and Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dhairyasheel Ghosalkar was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.