Ambrish Ghumman, M.D.
NPI 1093019929 · Gastroenterology Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ambrish Ghumman, M.D. is a Gastroenterology Physician provider in Modesto, CA (NPI 1093019929).
Provider details
- NPI number
- 1093019929
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A114452 (CA)
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
15 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
1,412 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) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 312 | $106 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 297 | $91 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 240 | $244 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 133 | $171 |
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 115 | $5 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 149 | 67 |
| Pantoprazole Sodium | 61 | 27 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 57 | 55 |
| Dicyclomine Hcl | 44 | 17 |
| Linaclotidebrand: Linzess | 43 | 11 |
| Esomeprazole Magnesium | 33 | 13 |
| Dexlansoprazolebrand: Dexlansoprazole Dr | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$156 across 5 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
- 2011-01-06
- Last updated
- 2011-01-06
Frequently asked questions
- What is Ambrish Ghumman's NPI number?
- Ambrish Ghumman's National Provider Identifier (NPI) is 1093019929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ambrish Ghumman's specialty?
- Ambrish Ghumman is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Ambrish Ghumman located?
- Ambrish Ghumman's practice location on file with NPPES is 1409 E Briggsmore Ave, Modesto, CA 95355-2707.
- What is Ambrish Ghumman's phone number?
- The practice phone number listed in the NPPES registry for Ambrish Ghumman is (209) 524-1211.
- Does Ambrish Ghumman accept Medicare?
- Ambrish Ghumman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ambrish Ghumman's NPI active?
- Yes — Ambrish Ghumman's NPI (1093019929) is active in the NPPES registry as of the last update on 2011-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.