Jay Ghadiali, M.D.
NPI 1053760835 · Rheumatology Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Ghadiali, M.D. is a Rheumatology Physician provider in Philadelphia, PA (NPI 1053760835).
Provider details
- NPI number
- 1053760835
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MT210707 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,777 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 425 | $131 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 347 | $15 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 325 | $17 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 149 | $134 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 116 | $183 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 256 | 72 |
| Methotrexate Sodiumbrand: Methotrexate | 138 | 50 |
| Hydroxychloroquine Sulfate | 111 | 48 |
| Allopurinol | 93 | 24 |
| Alendronate Sodium | 69 | 36 |
| Colchicine | 36 | 16 |
| Leflunomide | 28 | 13 |
| Celecoxib |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,633 across 100 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-12
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Frequently asked questions
- What is Jay Ghadiali's NPI number?
- Jay Ghadiali's National Provider Identifier (NPI) is 1053760835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Ghadiali's specialty?
- Jay Ghadiali is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jay Ghadiali located?
- Jay Ghadiali's practice location on file with NPPES is 3400 Spruce St, Philadelphia, PA 19104-4238.
- What is Jay Ghadiali's phone number?
- The practice phone number listed in the NPPES registry for Jay Ghadiali is (215) 662-2454.
- Does Jay Ghadiali accept Medicare?
- Jay Ghadiali is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Ghadiali's NPI active?
- Yes — Jay Ghadiali's NPI (1053760835) is active in the NPPES registry as of the last update on 2020-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.