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

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
4550 E PALM VALLEY BLVD, ROUND ROCK, TX 78665(512) 988-5355 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Feb 1, 2023, Oct 11, 2022 (3 updates tracked since 2022).

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 Round Rock, Texas, licensed in Texas (T9395) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS 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 Address4550 E PALM VALLEY BLVDRound Rock, TX 78665-2595
Mailing Address9450 Sw Gemini Dr, Pmb49084Beaverton, OR 97008 · (129) 885-3555 · Fax (512) 323-0307
Phone(512) 988-5355
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ 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
4550 E PALM VALLEY BLVD, Round Rock, TX 78665
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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, and ordering and referring status from the CMS PECOS system.

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.

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 78665 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 4

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

RENEE CROZIER PHARMD
Pharmacist
4550 E PALM VALLEY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 255-9230
WALGREEN CO
Pharmacy
4550 E PALM VALLEY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 255-9230
XUAN ZHOU
Pharmacist
4550 E PALM VALLEY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 255-9230
ESTHER B DE LA TORRE M.D.
Family Medicine
4550 E PALM VALLEY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 988-5355

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 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.

Where is Ronak Ghiya located?

Ronak Ghiya practices at 4550 E Palm Valley Blvd, Round Rock, TX 78665. The listed phone number is (512) 988-5355.

What is Ronak Ghiya's specialty?

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

Is Ronak Ghiya enrolled in Medicare?

Yes. Ronak Ghiya 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.

What insurance does Ronak Ghiya accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ronak Ghiya 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 Ronak Ghiya was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.