Dr Jay Ghadiali, MD - Medicare Rheumatology in Philadelphia, PA

Dr Jay Ghadiali, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Philadelphia, Pennsylvania. He went to Rutgers New Jersey Medical School and graduated in 2016 and has 8 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Bryn Mawr Medical Specialists Association and his current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-2454.

Dr Jay Ghadiali is licensed to practice in Pennsylvania (license number MT210707) 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 1053760835.

Contact Information

Dr Jay Ghadiali, MD
3400 Spruce St,
Philadelphia, PA 19104-4238
(215) 662-2454
Not Available

Map and Direction




Physician's Profile

Full NameDr Jay Ghadiali
GenderMale
SpecialityRheumatology
Experience8 Years
Location3400 Spruce St, Philadelphia, 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 Jay Ghadiali attended and graduated from Rutgers New Jersey Medical School in 2016
  NPI Data:
  • NPI Number: 1053760835
  • Provider Enumeration Date: 06/12/2016
  • Last Update Date: 02/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597052019
  • Enrollment ID: I20210706000743

Medical Identifiers

Medical identifiers for Dr Jay Ghadiali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053760835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT210707 (Pennsylvania)Secondary
207RR0500XInternal Medicine - Rheumatology MT210707 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bryn Mawr HospitalBryn mawr, PAHospital
Main Line Hospital LankenauWynnewood, PAHospital
Paoli HospitalPaoli, PAHospital
Riddle Memorial HospitalMedia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bryn Mawr Medical Specialists Association418361093494

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 Jay Ghadiali allows following entities to bill medicare on his behalf.
Entity NameAbington Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790738011
PECOS PAC ID: 3274437736
Enrollment ID: O20031208000487
Entity NameBryn Mawr Medical Specialists Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841226099
PECOS PAC ID: 4183610934
Enrollment ID: O20040426000467

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 Jay Ghadiali 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 Jay Ghadiali, MD
3400 Spruce St,
Philadelphia, PA 19104-4238

Ph: (215) 662-2454
Dr Jay Ghadiali, MD
3400 Spruce St,
Philadelphia, PA 19104-4238

Ph: (215) 662-2454

Reviews and Comments


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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.