DR. SHAHED YUNUS GHOGHAWALA MD
NPI 1871768051
Ophthalmology in Madison, WI

Q: What is Shahed Ghoghawala's NPI number?

The NPI number for Shahed Ghoghawala is 1871768051. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Q: What is Shahed Ghoghawala's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shahed Ghoghawala was last updated on June 10, 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.

Active since April 28, 2008PECOS EnrolledAccepts Medicare Assignment

83.36/100

CMS Quality Rating

1025 REGENT ST, MADISON, WI 53715(608) 282-2000(608) 282-2172 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2024, Feb 28, 2019 (2 updates tracked since 2019).

On this page

About Dr. Shahed Yunus Ghoghawala Md NPPES

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

DR. SHAHED YUNUS GHOGHAWALA MD (NPI 1871768051) is an individual ophthalmology provider in Madison, Wisconsin, licensed in Wisconsin (54016) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1871768051

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SHAHED YUNUS GHOGHAWALACredential: MD

Location Address1025 REGENT STMadison, WI 53715-1248

Mailing Address1025 Regent StMadison, WI 53715-1248 · (608) 282-2000 · Fax (608) 282-2172

Phone(608) 282-2000

Fax(608) 282-2172

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 28, 2008

Last NPPES UpdateJune 10, 20242 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1871768051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in WI · 54016✔ Licensed in TX · P5806

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License P5806 (TX)

1025 REGENT ST, Madison, WI 53715

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Other Identifiers 1

Medicaid1871768051WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Providence Health Plan.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. Shahed Yunus Ghoghawala 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 ID6406019439

PECOS Enrollment IDI20240605000466

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 15

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 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.

218 services157 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

139 services98 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

105 services103 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

89 services89 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

71 services49 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

65 services62 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

61 services60 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

45 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

30 services30 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

21 services14 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

19 services17 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

19 services19 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.

17 services17 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520208

Location3400 East Racine StreetJanesville, WI 53546 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

83.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.65

Improvement Activities

Cost

54.34

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.

AMOL D KULKARNI MD

Ophthalmology

1025 REGENT ST
MADISON, WI 53715

Dane County (608) 282-2000

MITCHELL D WOLF MD

Ophthalmology

1025 REGENT ST
MADISON, WI 53715

Dane County (608) 282-2000

NEAL JOSEPH JANQUART MD

Anesthesiology

1025 REGENT ST, DAVIS DUEHR DEAN MEDICAL CENTER
MADISON, WI 53715

Dane County (608) 282-2000

SHANG-YUN HUANG OD

Optometrist

1025 REGENT ST
MADISON, WI 53715

Dane County (608) 282-2000

LYNNETTE OLRICK-BIELINSKI

Registered Nurse (Ophthalmic)

1025 REGENT ST
MADISON, WI 53715

Dane County (608) 282-2050

JOAN M MCGRATH MD

Anesthesiology

1025 REGENT ST, DAVIS DUEHR DEAN MEDICAL CENTER
MADISON, WI 53715

Dane County (608) 282-5020

DR. CHRISTOPHER M PRUET MD

Ophthalmology

1025 REGENT ST
MADISON, WI 53715

Dane County (608) 282-2000

ROBERT J HEYDEN OD

Optometrist

1025 REGENT ST, DAVIS DUEHR DEAN/DEAN MEDICAL CENTER
MADISON, WI 53715

Dane County (608) 282-2000

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 Shahed Ghoghawala's NPI number?

The NPI number for Shahed Ghoghawala is 1871768051. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Shahed Ghoghawala located?

Shahed Ghoghawala practices at 1025 Regent St, Madison, WI 53715. The listed phone number is (608) 282-2000.

What is Shahed Ghoghawala's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shahed Ghoghawala enrolled in Medicare?

Yes. Shahed Ghoghawala 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 Shahed Ghoghawala accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Providence Health Plan list Shahed Ghoghawala 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 Shahed Ghoghawala affiliated with any hospitals?

According to CMS data, Shahed Ghoghawala is affiliated with Ssm Health St Mary's Hospital - Madison and Ssm Health St Mary's Hospital - Janesville.

When was this NPI record last updated?

The NPPES record for Shahed Ghoghawala was last updated on June 10, 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.