Dr Ronak D Ghiya, MD - Medicare Internal Medicine in Pflugerville, TX

Dr Ronak D Ghiya, MD is a medicare enrolled "Internal Medicine" physician in Pflugerville, Texas. His current practice location is 1821 Fm 685, Pflugerville, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 509-0100.

Dr Ronak D Ghiya is licensed to practice in Texas (license number T9395) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861925877.

Contact Information

Dr Ronak D Ghiya, MD
1821 Fm 685,
Pflugerville, TX 78660-3678
(512) 509-0100
(512) 323-0307

Map and Direction




Physician's Profile

Full NameDr Ronak D Ghiya
GenderMale
SpecialityInternal Medicine
Location1821 Fm 685, Pflugerville, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861925877
  • Provider Enumeration Date: 04/06/2017
  • Last Update Date: 02/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517236219
  • Enrollment ID: I20221006002531

Medical Identifiers

Medical identifiers for Dr Ronak D Ghiya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861925877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine T9395 (Texas)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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 Ronak D Ghiya allows following entities to bill medicare on his behalf.
Entity NameVmd Primary Providers Of South Central Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790318566
PECOS PAC ID: 7911337472
Enrollment ID: O20200423002171

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 Ronak D Ghiya 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 Ronak D Ghiya, MD
125 S Clark St Ste 900,
Chicago, IL 60603-4043

Ph: (512) 988-5355
Dr Ronak D Ghiya, MD
1821 Fm 685,
Pflugerville, TX 78660-3678

Ph: (512) 509-0100

Reviews and Comments


Internal Medicine Doctors in Pflugerville, TX

Dr. Susan Brister, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2700 Pecan St W, Ste 102, Pflugerville, TX 78660
Phone: 512-421-3750    Fax: 512-421-3751
Dr. Sreekanth Reddy Roopireddy, M.D.,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 East Plugerville Parkway, Ste 100, Pflugerville, TX 78660
Phone: 512-654-6100    
Emem Idem, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 E Pflugerville Pkwy Ste 100, Pflugerville, TX 78660
Phone: 512-654-6100    
Hector Sanchez, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15803 Windermere Dr Ste 103, Pflugerville, TX 78660
Phone: 512-989-2680    Fax: 512-406-7339
Natalie Danielle Gordon, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2700 W Pecan St Ste 450, Pflugerville, TX 78660
Phone: 512-978-9840    Fax: 512-901-9768
Gowrishankar Gnanasekaran, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15803 Windermere Dr Ste 102, Pflugerville, TX 78660
Phone: 512-990-4260    Fax: 512-406-7338
Dr. Abhilasha Gupta, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2700 W Pecan St Ste 102, Pflugerville, TX 78660
Phone: 512-421-3750    Fax: 512-421-3751

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.