Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GAURI GHATE MD
NPI 1851881924
Family Medicine in Spencer, OK

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment
12716 NE 36TH ST, SPENCER, OK 73084(405) 769-3301(405) 769-0290 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Aug 14, 2026, Jul 14, 2026 and 2 more (5 updates tracked since 2018).

About Gauri Ghate Md NPPES

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

GAURI GHATE MD (NPI 1851881924) is an individual family medicine provider in Spencer, Oklahoma, licensed in Oklahoma (33851) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1851881924
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGAURI GHATECredential: MD
Location Address12716 NE 36TH STSpencer, OK 73084-9167
Mailing AddressPo Box 30589Midwest City, OK 73140-3589 · (405) 769-3301 · Fax (405) 769-9685
Fax(405) 769-0290
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 15, 2018
Last NPPES UpdateSeptember 22, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1851881924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 33851
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12716 NE 36TH ST, Spencer, OK 73084

Other Identifiers 1

Medicaid200776190AOK

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

Gauri Ghate 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 ID7719382472
PECOS Enrollment IDI20210819000676
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 Reassignment

Medicare enrollment records show Gauri Ghate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
12716 NE 36TH ST
Oklahoma City, OK 73140
  • Reassigned Medicare billing, Oklahoma enrollment
  • 19 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 3

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73084 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Pharmacy Technician
12716 NE 36TH ST
SPENCER, OK 73084
Pediatrics
12716 NE 36TH ST
SPENCER, OK 73084
Case Manager/Care Coordinator
12716 NE 36TH ST
SPENCER, OK 73084
Pharmacy Technician
12716 NE 36TH ST
SPENCER, OK 73084
Licensed Practical Nurse
12716 NE 36TH ST
SPENCER, OK 73084
Licensed Practical Nurse
12716 NE 36TH ST
SPENCER, OK 73084
Social Worker (Clinical)
12716 NE 36TH ST
SPENCER, OK 73084
Dental Hygienist
12716 NE 36TH ST
SPENCER, OK 73084

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 Gauri Ghate's NPI number?

The NPI number for Gauri Ghate is 1851881924. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Gauri Ghate located?

Gauri Ghate practices at 12716 NE 36th St, Spencer, OK 73084. The listed phone number is (405) 769-3301.

What is Gauri Ghate's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gauri Ghate enrolled in Medicare?

Yes. Gauri Ghate 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 organization bills Medicare for Gauri Ghate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gauri Ghate reassigns Medicare benefits to Community Health Centers Inc. (Oklahoma City, OK). The 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 Gauri Ghate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gauri Ghate accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Gauri Ghate 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.

When was this NPI record last updated?

The NPPES record for Gauri Ghate was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.