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

DR. RONAK D GHIYA M.D.
NPI 1861925877
Internal Medicine in Houston, TX

Q: What is Ronak Ghiya's NPI number?

The NPI number for Ronak Ghiya is 1861925877. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Q: What is Ronak Ghiya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ronak Ghiya was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment

708 MAIN ST FL 10, HOUSTON, TX 77002(855) 212-2273 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2026, Jun 5, 2024, Feb 1, 2023 and 1 more (4 updates tracked since 2022).

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About Dr. Ronak D Ghiya M.d. NPPES

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

DR. RONAK D GHIYA M.D. (NPI 1861925877) is an individual internal medicine provider in Houston, Texas, licensed in Texas (T9395) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Round Rock, and is a graduate of Wright State University Boonshoft School Of Medicine (2017).

NPPES Registry Identity

NPI1861925877

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RONAK D GHIYACredential: M.D.

Location Address708 MAIN ST FL 10Houston, TX 77002-3246

Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273

Phone(855) 212-2273

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2017

Enumeration DateApril 6, 2017

Last NPPES UpdateOctober 11, 20264 updates tracked since enumeration

NPPES CertifiedOctober 11, 2026

✔ NPI 1861925877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · T9395

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

708 MAIN ST FL 10, Houston, TX 77002

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Secondary Practice Location 1

Location 14550 E Palm Valley BlvdRound Rock, TX 78665-2595 · Phone (512) 988-5355

Other Identifiers 1

Medicaid1861925877TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Ronak D Ghiya M.d. 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 ID7517236219

PECOS Enrollment IDI20221006002531

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

Medicare enrollment records show Ronak Ghiya reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vmd Primary Providers Of South Central Texas PLLC

147 mi

Family Medicine

720 W 34TH ST
Austin, TX 78705

Reassigned Medicare billing, Texas enrollment
28 clinicians in this Medicare group

NPI 1790318566 (512) 988-5355

Monogram Health Professional Services Of Texas PLLC

658 mi

Nephrology

5410 MARYLAND WAY STE 400
Brentwood, TN 37027

Reassigned Medicare billing, Texas enrollment
91 clinicians in this Medicare group

NPI 1396481255 (615) 465-8684

Monogram Health Professional Services PC

658 mi

Nephrology

5410 MARYLAND WAY STE 400
Brentwood, TN 37027

Reassigned Medicare billing, Arizona and Washington enrollments
Also billed through NPI 1134739089 (Washington)
67 clinicians in this Medicare group

NPI 1952917122 (615) 465-8684

Monogram Health Professional Services Of Iowa PLLC

859 mi

Nephrology

4620 E 53RD ST STE 200
Davenport, IA 52807

Reassigned Medicare billing, Iowa enrollment
46 clinicians in this Medicare group

NPI 1285344150 (615) 623-4455

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 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

102 services46 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

54 services38 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

27 services27 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

25 services16 patients

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.

22 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77002 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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