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DANISH RAMZAN GHUMAN MD
NPI 1972183812
Internal Medicine in Reading, PA

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
4885 DEMOSS RD STE 200, READING, PA 19606(610) 898-5660 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Danish Ramzan Ghuman Md NPPES

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

DANISH RAMZAN GHUMAN MD (NPI 1972183812) is an individual internal medicine provider in Reading, Pennsylvania, licensed in Pennsylvania (MD485959) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972183812
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDANISH RAMZAN GHUMANCredential: MD
Location Address4885 DEMOSS RD STE 200Reading, PA 19606-9025
Mailing Address101 Dates DrIthaca, NY 14850-1383
Phone(610) 898-5660
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2021
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1972183812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD485959
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.
4885 DEMOSS RD STE 200, Reading, PA 19606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Danish Ramzan Ghuman 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 ID8820534613
PECOS Enrollment IDI20240729003811
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

3

Medicare enrollment records show Danish Ghuman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Medical Group
Same address
Gynecology
4885 DEMOSS RD STE 101
Reading, PA 19606
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1235776790 (484) 628-7980
Pottstown Clinic Company LLC
12 mi
Family Medicine
730 S HANOVER ST
Pottstown, PA 19465
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 474 clinicians in this Medicare group
NPI 1649341934 (610) 323-6835
Phoenixville Clinic Company LLC
18 mi
Vascular Surgery
420 W LINFIELD TRAPPE RD, STE 1100
Limerick, PA 19468
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
NPI 1790746345 (610) 495-2550

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 4

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.
129 services120 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services34 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.
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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19606 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 2

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

ANDREW LUKAS CHOLEWA
Physician Assistant (Medical)
4885 DEMOSS RD STE 200
READING, PA 19606
Berks County (610) 898-5660
DR. BERTRAND JOHN HIGH M.D.
Internal Medicine
4885 DEMOSS RD STE 200
READING, PA 19606
Berks County (610) 779-0300

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 Danish Ghuman's NPI number?

The NPI number for Danish Ghuman is 1972183812. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Danish Ghuman located?

Danish Ghuman practices at 4885 Demoss Rd Ste 200, Reading, PA 19606. The listed phone number is (610) 898-5660.

What is Danish Ghuman's specialty?

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

Is Danish Ghuman enrolled in Medicare?

Yes. Danish Ghuman 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.

Which organizations bill Medicare for Danish Ghuman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danish Ghuman reassigns Medicare benefits to 3 organizations: Tower Health Medical Group (Reading, PA), Pottstown Clinic Company LLC (Pottstown, PA) and Phoenixville Clinic Company LLC (Limerick, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danish Ghuman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danish Ghuman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Danish Ghuman 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 Danish Ghuman affiliated with any hospitals?

According to CMS data, Danish Ghuman is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Danish Ghuman was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.