Monali Pandya
NPI 1194111997 · Family Medicine Physician · Grove City, OH
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monali Pandya is a Family Medicine Physician provider in Grove City, OH (NPI 1194111997).
Provider details
- NPI number
- 1194111997
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
531 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 207 | $81 |
| 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 | 161 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 73 | $18 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 61 | $71 |
| Administration of Influenza Virus VaccineG0008 | 29 | $30 |
Typical Medicare-allowed amounts for these services range $16–$81 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 82 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 274 | 72 |
| Losartan Potassium | 197 | 53 |
| Amlodipine Besylate | 185 | 54 |
| Levothyroxine Sodium | 170 | 47 |
| Omeprazole | 156 | 45 |
| Lisinopril | 130 | 33 |
| Pantoprazole Sodium |
Practice location
Mailing address
Additional practice locations (1)
- 3801 North BlvdBrg Family Health CenterBaton Rouge, LA 70806-3825Phone: (225) 387-7899
Registry dates
- Enumerated
- 2015-04-08
- Last updated
- 2021-09-15
- Certified
- 2021-09-15
Frequently asked questions
- What is Monali Pandya's NPI number?
- Monali Pandya's National Provider Identifier (NPI) is 1194111997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monali Pandya's specialty?
- Monali Pandya is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Monali Pandya located?
- Monali Pandya's practice location on file with NPPES is 4191 Kelnor Dr Ste 300, Grove City, OH 43123-3990.
- What is Monali Pandya's phone number?
- The practice phone number listed in the NPPES registry for Monali Pandya is (614) 875-6349.
- Does Monali Pandya accept Medicare?
- Monali Pandya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monali Pandya's NPI active?
- Yes — Monali Pandya's NPI (1194111997) is active in the NPPES registry as of the last update on 2021-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.