DR. SURAJ K GATHANI M.D.
NPI 1902172067
Family Medicine in Louisville, KY
About Dr. Suraj K Gathani M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SURAJ K GATHANI M.D. (NPI 1902172067) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (48219) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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. Suraj K Gathani 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Norton Hospitals, Inc
Acute Care Hospitals · Louisville, KYBaptist Health Louisville
Acute Care Hospitals · Louisville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40243
LOUISVILLE, KY 40243
LOUISVILLE, KY 40243
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 Suraj Gathani's NPI number?
The NPI number for Suraj Gathani is 1902172067. It was assigned to this individual provider in the NPPES registry on March 22, 2012.
Where is Suraj Gathani located?
Suraj Gathani practices at 12010 Shelbyville Rd Suite 500, Louisville, KY 40243. The listed phone number is (502) 238-2800.
What is Suraj Gathani's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Suraj Gathani enrolled in Medicare?
Yes. Suraj Gathani 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 Suraj Gathani accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Suraj Gathani 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 Suraj Gathani affiliated with any hospitals?
According to CMS data, Suraj Gathani is affiliated with Norton Hospitals, Inc and Baptist Health Louisville.
When was this NPI record last updated?
The NPPES record for Suraj Gathani was last updated on December 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
