DR. INDIRA GJONI MD
NPI 1992094726
Family Medicine in New York, NY

Q: What is Indira Gjoni's NPI number?

The NPI number for Indira Gjoni is 1992094726. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Q: What is Indira Gjoni's specialty?

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

Q: Is Indira Gjoni enrolled in Medicare?

No. Indira Gjoni has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Indira Gjoni was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 01, 2011Opted out of Medicare · through Feb 13, 2028

535 5TH AVE, ROOM 603, NEW YORK, NY 10017(646) 200-5750(833) 322-1167 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Nov 18, 2025 (2 updates tracked since 2025).

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About Dr. Indira Gjoni Md NPPES

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

DR. INDIRA GJONI MD (NPI 1992094726) is an individual family medicine provider in New York, New York, licensed in New Jersey (25MA09564700) and active in the NPI registry since April 2011. She has opted out of Medicare through February 13, 2028 and remains eligible to order and refer and is a graduate of Other (2009).

NPPES Registry Identity

NPI1992094726

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. INDIRA GJONICredential: MD

Location Address535 5TH AVE, ROOM 603New York, NY 10017

Mailing Address535 5th Ave, Room 603New York, NY 10017 · (646) 200-5750 · Fax (833) 322-1167

Phone(646) 200-5750

Fax(833) 322-1167

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateApril 1, 2011

Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1992094726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA09564700

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

535 5TH AVE, New York, NY 10017

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Indira Gjoni Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2026 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2026

Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 12

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.

306 services296 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

150 services148 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

74 services74 patients

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.

59 services59 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

52 services50 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.

51 services49 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

49 services49 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

34 services33 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

20 services20 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.

16 services16 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

15 services15 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10017 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

DR. DIANA ISKHAKOVA PHARM D

Pharmacist

535 5TH AVE, DUANE READE PHARMACY
NY, NY 10017

New York County (212) 687-8641

AMY SANTOS

Clinic/Center (Hearing and Speech)

535 5TH AVE
NEW YORK, NY 10017

New York County (718) 948-1900

ALEXIS MARIE CHARLTON MA, TSSLD-BE

Speech-Language Pathologist

535 5TH AVE
NEW YORK, NY 10017

New York County (718) 948-1900

GOTHAM MEDICAL ASSOCIATES, PLLC

Specialist

535 5TH AVE, SUITE 611
NEW YORK, NY 10017

New York County (646) 524-1665

MANHATTAN ENDOSCOPY CENTER LLC

Clinic/Center (Ambulatory Surgical)

535 5TH AVE
NEW YORK, NY 10017

New York County (212) 682-2828

JESSICA MERSAND

Speech-Language Pathologist

535 5TH AVE
NEW YORK, NY 10017

New York County (718) 948-1900

MISS ASHLEY AMBER GACCIONE CF-SLP TSSLD

Speech-Language Pathologist

535 5TH AVE
NEW YORK, NY 10017

New York County (917) 672-3268

HELEN CHEN

Speech-Language Pathologist

535 5TH AVE
NEW YORK, NY 10017

New York County (718) 948-1900

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 Indira Gjoni's NPI number?

The NPI number for Indira Gjoni is 1992094726. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Where is Indira Gjoni located?

Indira Gjoni practices at 535 5th Ave Room 603, New York, NY 10017. The listed phone number is (646) 200-5750.

What is Indira Gjoni's specialty?

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

Is Indira Gjoni enrolled in Medicare?

No. Indira Gjoni has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Indira Gjoni accept?

Health plans from Molina Healthcare list Indira Gjoni 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 Indira Gjoni was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.