Dr Ghanshyam Himmatbhai Ghelani, MD - Medicare Hematology/oncology in Tyler, TX

Dr Ghanshyam Himmatbhai Ghelani, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Tyler, Texas. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice University Of Texas Health Science Center At Tyler-facility-physician and his current practice location is 721 Clinic Dr, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 592-0629.

Dr Ghanshyam Himmatbhai Ghelani is licensed to practice in Texas (license number U9533) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407297385.

Contact Information

Dr Ghanshyam Himmatbhai Ghelani, MD
721 Clinic Dr,
Tyler, TX 75701-2043
(903) 592-0629
Not Available

Map and Direction




Physician's Profile

Full NameDr Ghanshyam Himmatbhai Ghelani
GenderMale
SpecialityHematology/oncology
Experience17 Years
Location721 Clinic Dr, Tyler, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ghanshyam Himmatbhai Ghelani graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1407297385
  • Provider Enumeration Date: 07/08/2013
  • Last Update Date: 06/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840591590
  • Enrollment ID: I20240530000242

Medical Identifiers

Medical identifiers for Dr Ghanshyam Himmatbhai Ghelani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407297385NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT203125 (Pennsylvania)Secondary
207RH0003XInternal Medicine - Hematology & Oncology U9533 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The University Of Texas Health Science Center At TylerTyler, TXHospital
Ut Health East Texas Tyler Regional HospitalTyler, TXHospital
Ut Health East Texas Jacksonville HospitalJacksonville, TXHospital
Ut Health East Texas Henderson HospitalHenderson, TXHospital
Christus Mother Frances HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Texas Health Science Center At Tyler-facility-physician4981699220104

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ghanshyam Himmatbhai Ghelani allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Health Science Center At Tyler-facility-physician
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063400778
PECOS PAC ID: 4981699220
Enrollment ID: O20040416001048
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ghanshyam Himmatbhai Ghelani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ghanshyam Himmatbhai Ghelani, MD
11937 Us Highway 271,
Tyler, TX 75708-3154

Ph: (903) 877-7200
Dr Ghanshyam Himmatbhai Ghelani, MD
721 Clinic Dr,
Tyler, TX 75701-2043

Ph: (903) 592-0629

Reviews and Comments


Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1133 Medical Dr, Tyler, TX 75701
Phone: 903-595-5486    Fax: 903-595-5128
Preetham Reddy Muskula, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701
Phone: 903-595-5514    Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D.
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Practice Location: 912 S Fleishel Ave, Tyler, TX 75701
Phone: 903-592-6901    
David A Brickey, DO
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-525-1914    
Randy Craig Randall, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 1783 Troup Highway, Tyler, TX 75701
Phone: 903-595-2283    Fax: 903-595-1063
Nabeel K Ahmed, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Medical Dr, Tyler, TX 75701
Phone: 903-595-5486    Fax: 903-595-5128
Rodolfo Amaro-galvez, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7072    Fax: 903-877-5838

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.