Dr Hemal Gada, MD - Medicare Interventional Cardiology in Wormleysburg, PA

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Dr Hemal Gada, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Wormleysburg, Pennsylvania. He went to University Of Michigan Medical School and graduated in 2005 and has 21 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Cardiology Associates Of Altoona Llp, Dlp Conemaugh Physician Practices Llc and his current practice location is 1000 N Front St, Wormleysburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 731-0101.

Dr Hemal Gada is licensed to practice in Pennsylvania (license number MD456155) 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 1386852390.

Contact Information

Dr Hemal Gada, MD
1000 N Front St,
Wormleysburg, PA 17043-1021
(717) 731-0101
(717) 731-8539

Map and Direction




Physician's Profile

Full NameDr Hemal Gada
GenderMale
SpecialityInterventional Cardiology
Experience21 Years
Location1000 N Front St, Wormleysburg, Pennsylvania
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 Hemal Gada attended and graduated from University Of Michigan Medical School in 2005
  NPI Data:
  • NPI Number: 1386852390
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 01/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880769728
  • Enrollment ID: I20151014000740

Medical Identifiers

Medical identifiers for Dr Hemal Gada such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386852390NPI-NPPES
103056503MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD456155 (Pennsylvania)Primary
207RI0011XInternal Medicine - Interventional Cardiology MD456155 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Conemaugh Nason Medical CenterRoaring spring, PAHospital
Penn Highlands HuntingdonHuntingdon, PAHospital
Conemaugh Memorial Medical CenterJohnstown, PAHospital
Upmc Pinnacle HospitalsHarrisburg, PAHospital
Upmc AltoonaAltoona, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cardiology Associates Of Altoona Llp004236747621
Dlp Conemaugh Physician Practices Llc7315166949286

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 Hemal Gada allows following entities to bill medicare on his behalf.
Entity NameCardiology Associates of Altoona LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386688299
PECOS PAC ID: 0042367476
Enrollment ID: O20090422000053
Entity NameDlp Conemaugh Physician Practices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932515905
PECOS PAC ID: 7315166949
Enrollment ID: O20140915002522

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 Hemal Gada 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 Hemal Gada, MD
1000 N Front St,
Wormleysburg, PA 17043-1021

Ph: Not Available		Dr Hemal Gada, MD
1000 N Front St,
Wormleysburg, PA 17043-1021

Ph: (717) 731-0101

Reviews and Comments


Internal Medicine Doctors in Wormleysburg, PA

Dr. Nancy Lecompte Radtke, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Front St, Wormleysburg, PA 17043
Phone: 717-731-0101    Fax: 717-731-8359
Dr. Cleon R Hubbard, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Front St, Wormleysburg, PA 17043
Phone: 717-731-0101    Fax: 717-731-8359
Dr. Gouthami Boga, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Front St, Wormleysburg, PA 17043
Phone: 717-731-0101    Fax: 717-731-8359
Kunal N Bodiwala, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Front St, Wormleysburg, PA 17043
Phone: 717-731-0101    Fax: 717-731-8359
Shweta Aggarwal, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Front St, Wormleysburg, PA 17043
Phone: 717-731-0101    Fax: 717-731-8359
Dr. Timothy P Walsh, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Front St, Wormleysburg, PA 17043
Phone: 717-731-0101    Fax: 717-731-8359
Dr. Thomas Christopher Morris, D.O.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Front St, Wormleysburg, PA 17043
Phone: 717-731-0101    Fax: 717-441-0592

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.