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DR. KETAN GALA M.D.
NPI 1932381035
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Cherry Hill, NJ

Active since November 29, 2007PECOS EnrolledAccepts Medicare Assignment
81.71/100
CMS Quality Rating
2339 ROUTE 70 W, CHERRY HILL, NJ 08002(856) 325-6700 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ketan Gala M.d. NPPES

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

DR. KETAN GALA M.D. (NPI 1932381035) is an individual advanced heart failure and transplant cardiology provider in Cherry Hill, New Jersey, licensed in New Jersey (25MA09146000) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1932381035
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. KETAN GALACredential: M.D.
Location Address2339 ROUTE 70 WCherry Hill, NJ 08002-3315
Mailing Address1 Cooper Plaza, 3 Dorrance, D390Camden, NJ 08103-1461 · (856) 342-2000 · Fax (609) 710-7494
Phone(856) 325-6700
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2007
Enumeration DateNovember 29, 2007
Last NPPES UpdateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1932381035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
Licenses✔ Licensed in NJ · 25MA09146000✔ Licensed in PA · MD439768
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD439768 (PA), 25MA09146000 (NJ)
2339 ROUTE 70 W, Cherry Hill, NJ 08002
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Secondary Practice Location 1

Location 13 Cooper Plz Rm 311Camden, NJ 08103-1438 · Phone (856) 325-6700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Plan, Inc..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. Ketan Gala 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 ID9638327091
PECOS Enrollment IDI20120911000129, I20130824000035, I20240612000019, I20240612000315
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 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.

Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services 93798
Outpatient heart rehabilitation involves regular visits to a clinic for heart health improvement after a cardiac event. During these sessions, an electrocardiogram (ECG) monitors heart activity, while healthcare professionals provide personalized care and education on lifestyle changes, ensuring a safe recovery and reducing future heart risks.
869 services84 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
394 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
340 services46 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
178 services77 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
176 services93 patients
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.
74 services45 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08002 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

81.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.07
Promoting Interoperability100
Improvement Activities40
Cost55.39

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.

BRIANNA MAGANA OT
Occupational Therapist
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 406-4080
MELANIE NICOLE KELLY OTR/L
Occupational Therapist
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 414-6114
JINHEE JANG BRATU CRNP
Nurse Practitioner
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 546-8525
MAY T TRAN MS, RDN, LDN
Dietitian, Registered
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 382-6500
DR. PHILIP EDWARD DORMISH MD
Internal Medicine (Pulmonary Disease)
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 536-1500
SHARON LEWIS MD
Psychiatry & Neurology (Neurology)
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 546-8525
BRANDI ALDRIDGE PA-C
Physician Assistant
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 532-9519
MORGAN GRISOFF LCSW
Social Worker (Clinical)
2339 ROUTE 70 W
CHERRY HILL, NJ 08002
Camden County (856) 546-8525

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 Ketan Gala's NPI number?

The NPI number for Ketan Gala is 1932381035. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Where is Ketan Gala located?

Ketan Gala practices at 2339 Route 70 W, Cherry Hill, NJ 08002. The listed phone number is (856) 325-6700.

What is Ketan Gala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Ketan Gala enrolled in Medicare?

Yes. Ketan Gala 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 Ketan Gala accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Plan, Inc. list Ketan Gala 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 Ketan Gala affiliated with any hospitals?

According to CMS data, Ketan Gala is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Ketan Gala was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.