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DR. UMESH HANSRAJ GHEEWALA M.D.
NPI 1982608568
Internal Medicine in San Mateo, CA

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
100 S SAN MATEO DR, SAN MATEO, CA 94401(650) 696-4758(650) 404-8408 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jun 22, 2020, Dec 15, 2015 (3 updates tracked since 2015).

About Dr. Umesh Hansraj Gheewala M.d. NPPES

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

DR. UMESH HANSRAJ GHEEWALA M.D. (NPI 1982608568) is an individual internal medicine provider in San Mateo, California, licensed in California (A38329) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Honolulu, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1982608568
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. UMESH HANSRAJ GHEEWALACredential: M.D.
Location Address100 S SAN MATEO DRSan Mateo, CA 94401-3805
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 696-4758
Phone(650) 696-4758
Fax(650) 404-8408
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 3, 20233 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1982608568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A38329✔ Licensed in HI · MD-3715
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.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License A38329 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A38329 (CA)
100 S SAN MATEO DR, San Mateo, CA 94401
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Secondary Practice Location 1

Location 1449 Kapahulu Ave Ste 104Honolulu, HI 96815-3850 · Phone (808) 735-0007

Other Identifiers 2

OtherA38329CA · Ca State Medical License
OtherMD-03715HI · Hawaii State Med License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. Umesh Hansraj Gheewala 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 ID6608788781
PECOS Enrollment IDI20090112000581, I20141103000832
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 2

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.
26 services25 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

HARRIET BETH BOROFSKY M.D.
Radiology (Diagnostic Radiology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-4140
SUTTER BAY HOSPITALS
Psychiatric Unit
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-5400
CLAY HUGHES NAPPER M.D.
Radiology (Diagnostic Radiology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-4515
JEFFREY J. GUTTAS. MD, INC.
Allergy & Immunology
100 S SAN MATEO DR, STE 400
SAN MATEO, CA 94401
San Mateo County (650) 696-4101
DR. JEFFREY JOHN GUTTAS M.D.
Internal Medicine (Cardiovascular Disease)
100 S SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
San Mateo County (650) 696-4100
HAIDEE SUI DPT
Physical Therapist
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-4315
MS. KIMBERLY J. ERLICH RN CPNP
Nurse Practitioner (Pediatrics)
100 S SAN MATEO DR, 3RD FLOOR, RM 3364
SAN MATEO, CA 94401
San Mateo County (650) 696-4595
DR. EDWARD JUHN M.D.
Internal Medicine
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-4427

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 Umesh Gheewala's NPI number?

The NPI number for Umesh Gheewala is 1982608568. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Umesh Gheewala located?

Umesh Gheewala practices at 100 S San Mateo Dr, San Mateo, CA 94401. The listed phone number is (650) 696-4758.

What is Umesh Gheewala's specialty?

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

Is Umesh Gheewala enrolled in Medicare?

Yes. Umesh Gheewala 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 Umesh Gheewala accept?

Health plans from HMSA list Umesh Gheewala 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.

When was this NPI record last updated?

The NPPES record for Umesh Gheewala was last updated on August 3, 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.