DR. MANSUKH RANCHHODBHAI GHADIYA MD
NPI 1972537736
Family Medicine in Bakersfield, CA

Active since July 10, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2083294 · Waiver
2201 MOUNT VERNON AVE, SUITE 211 A, BAKERSFIELD, CA 93306(661) 215-4948(855) 677-5701 Get Directions Write a Review

NPPES record last updated: June 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mansukh Ranchhodbhai Ghadiya Md NPPES

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

DR. MANSUKH RANCHHODBHAI GHADIYA MD (NPI 1972537736) is an individual family medicine provider in Bakersfield, California, licensed in California (A71759) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 1, 2026, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1972537736
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MANSUKH RANCHHODBHAI GHADIYACredential: MD
Location Address2201 MOUNT VERNON AVE, SUITE 211 ABakersfield, CA 93306-3341
Mailing AddressPo Box 60770Bakersfield, CA 93386-0770 · (661) 215-4948 · Fax (855) 677-5701
Fax(855) 677-5701
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 24, 2023
NPPES CertifiedJune 24, 2023
NPI 1972537736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A71759
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2201 MOUNT VERNON AVE, Bakersfield, CA 93306

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. Mansukh Ranchhodbhai Ghadiya 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 ID5395635759
PECOS Enrollment IDI20040318000839
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2083294

Mansukh Ghadiya, M.D., Inc · Bakersfield, CA
Active · expires Sep 1, 2026
CLIA Number05D2083294
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorMansukh R. Ghadiya, MD
Laboratory Phone(661) 872-7000
Laboratory LocationMansukh Ghadiya, M.D., Inc2201 Mount Vernon Avenue, Ste 211-A, Bakersfield, CA 93306
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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 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.
1,707 services139 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
345 services107 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
330 services96 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
137 services28 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
126 services43 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
105 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93306 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$55.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Gastroenterology)
2201 MOUNT VERNON AVE, SUITE 108
BAKERSFIELD, CA 93306
Internal Medicine
2201 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Family Medicine (Geriatric Medicine)
2201 MOUNT VERNON AVE, STE 211
BAKERSFIELD, CA 93306
Family Medicine
2201 MOUNT VERNON AVE, SUITE 211-A
BAKERSFIELD, CA 93306

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 Mansukh Ghadiya's NPI number?

The NPI number for Mansukh Ghadiya is 1972537736. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Mansukh Ghadiya located?

Mansukh Ghadiya practices at 2201 Mount Vernon Ave Suite 211 A, Bakersfield, CA 93306. The listed phone number is (661) 215-4948.

What is Mansukh Ghadiya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mansukh Ghadiya enrolled in Medicare?

Yes. Mansukh Ghadiya 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.

Does Mansukh Ghadiya hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2083294) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mansukh Ghadiya was last updated on June 24, 2023. 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.