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Dr. Sujal P Ghelani

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NPI Number Detailed Information

Provider Information:

Name: Dr. Sujal P Ghelani
Gender: M
Provider License Number If Given: OS018675

NPI Information:

NPI: 1700213055
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/1/2013

Last Update Date: 2/10/2023

Provider Business Mailing Address:

Address: 826 MAIN ST STE 201
Phoenixville, PA 19460
Phone Number: 6104151100
Fax Number: 6104151101

Provider Business Practice Location Address:

Address: 826 MAIN ST STE 201
Phoenixville, PA 19460
Phone Number: 6104151100
Fax Number: 6104151101

Provider Taxonomy:

Primary: 2080P0201X
Secondary (if any): 208M00000X
State: PA

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About Dr. Sujal P Ghelani

Dr. Sujal P Ghelani (DR. SUJAL P GHELANI ) is A Pediatrics Physician in Phoenixville, PA. The NPI Number for Dr. Sujal P Ghelani is 1700213055.
The current location address for Dr. Sujal P Ghelani is 826 MAIN ST STE 201 Phoenixville, PA 19460 and the contact number is 6104151100 and fax number is 6104151101. The mailing address for Dr. Sujal P Ghelani is 826 MAIN ST STE 201 Phoenixville, PA 19460- 6104151100 (mailing address contact number - 6104151100).
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Sujal P Ghelani ?


Answer: The NPI Number for Dr. Sujal P Ghelani is 1700213055

Where is Dr. Sujal P Ghelani located?


Answer: Dr. Sujal P Ghelani is located at 826 MAIN ST STE 201 Phoenixville, PA 19460.

What is the specialty for Dr. Sujal P Ghelani ?


Answer: The Specialty of Dr. Sujal P Ghelani is A Pediatrics Physician.

Are there any online reviews for Dr. Sujal P Ghelani ?


Answer: Not yet!

Are there any other health care providers in Phoenixville, PA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Sujal P Ghelani

Number of HCPCS 28
Number of Medicare Beneficiaries 330
Number of Services 1548
Total Submitted Charge Amount 130057
Total Medicare Allowed Amount 73975.59
Total Medicare Payment Amount 58137.19
Total Medicare Standardized Payment Amount 53325.28
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 34
Number of Beneficiaries Age 65 to 74 152
Number of Beneficiaries Age 75 to 84 85
Number of Beneficiaries Age Greater 84 59
Number of Female Beneficiaries 203
Number of Male Beneficiaries 127
Number of Non-Hispanic White Beneficiaries 280
Number of Black or African American Beneficiaries 25
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 49
Number of Beneficiaries With Medicare Only Entitlement 281
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.21
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.24
Percent (%) of Beneficiaries Identified With Asthma 0.22
Percent (%) of Beneficiaries Identified With Cancer 0.17
Percent (%) of Beneficiaries Identified With Heart Failure 0.27
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.48
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.19
Percent (%) of Beneficiaries Identified With Depression 0.42
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.44
Percent (%) of Beneficiaries Identified With Osteoporosis 0.22
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.57
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.04
Percent (%) of Beneficiaries Identified With Stroke 0.12
Average HCC Risk Score of Beneficiaries 1.5753

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Allergy/ Immunology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 270
Number of Standardized 30-Day Fills 332.36666667
Aggregate Cost Paid for All Claims 28456.58
Number of Day's Supply for All Claims 8900
Number of Medicare Beneficiaries 100
Number of Claims, Including Refills, for Beneficiaries Age 65+ 206
Including Refills, for Beneficiaries Age 65+ 256.36666667
Beneficiaries Age 65+ 20213.24
Number of Day's Supply for All Claims for Beneficaries Age 65+ 6799
Number of Medicare Beneficiaries Age 65+ 82
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 79
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 191
Aggregate Cost Paid for Generic Drugs 5403.49
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 83
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 8108.24
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 187
Aggregate Cost Paid for Claims Filled by 20348.34
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 92
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 11819.47
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 178
by Low-Income Subsidy 16637.11
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 15
Aggregate Cost Paid for Antibiotic Drugs 169.89
Antibiotic Claims 14
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 70.66
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 46
Number of Beneficiaries Age 75 to 84 27
Number of Female Beneficiaries 67
Number of Male Beneficiaries 33
Number of Non-Hispanic White 74
Number of Black or African American 18
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 77
Average Hierarchical Condition Category 1.3199337807

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Dr. Sujal P Ghelani in Other Directories

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