Vishal Ghevariya, M.D.
NPI 1043519531 · Gastroenterology Physician · Castro Valley, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vishal Ghevariya, M.D. is a Gastroenterology Physician provider in Castro Valley, CA (NPI 1043519531).
Provider details
- NPI number
- 1043519531
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 259308 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
759 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 116 | $110 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 98 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 93 | $153 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 77 | $198 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 76 | $153 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 133 | 130 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 76 | 76 |
| Pantoprazole Sodium | 26 | 16 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 26 | 25 |
| Entecavir | 16 | — |
| Mesalamine | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-23
- Last updated
- 2022-08-01
- Certified
- 2022-08-01
Frequently asked questions
- What is Vishal Ghevariya's NPI number?
- Vishal Ghevariya's National Provider Identifier (NPI) is 1043519531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vishal Ghevariya's specialty?
- Vishal Ghevariya is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Vishal Ghevariya located?
- Vishal Ghevariya's practice location on file with NPPES is 19845 Lake Chabot Rd, Castro Valley, CA 94546-4055.
- What is Vishal Ghevariya's phone number?
- The practice phone number listed in the NPPES registry for Vishal Ghevariya is (510) 537-4415.
- Does Vishal Ghevariya accept Medicare?
- Vishal Ghevariya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vishal Ghevariya's NPI active?
- Yes — Vishal Ghevariya's NPI (1043519531) is active in the NPPES registry as of the last update on 2022-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.