Ashish Gajjar, MD
NPI 1538470562 · Neurology Physician · Edinburg, TX
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ashish Gajjar, MD is a Neurology Physician provider in Edinburg, TX (NPI 1538470562).
Provider details
- NPI number
- 1538470562
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- S2306 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 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
173 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 101 | $210 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 24 | $123 |
| Removal of Blood Clot and Injection to Dissolve Blood Clot From Head Artery Using Fluoroscopic Guidance61645 | 14 | $795 |
| Insertion of Tube Into Brain Artery for Diagnosis Or Treatment With Review By Radiologist36226 | 12 | $205 |
| Insertion of Tube Into Internal Neck Artery for Diagnosis Or Treatment With Review By Radiologist36224 | 11 | $372 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,137 across 20 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
- 2010-06-24
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Frequently asked questions
- What is Ashish Gajjar's NPI number?
- Ashish Gajjar's National Provider Identifier (NPI) is 1538470562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ashish Gajjar's specialty?
- Ashish Gajjar is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Ashish Gajjar located?
- Ashish Gajjar's practice location on file with NPPES is 5501 S Mccoll Rd, Edinburg, TX 78539-5503.
- What is Ashish Gajjar's phone number?
- The practice phone number listed in the NPPES registry for Ashish Gajjar is (956) 362-6092.
- Does Ashish Gajjar accept Medicare?
- Ashish Gajjar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ashish Gajjar's NPI active?
- Yes — Ashish Gajjar's NPI (1538470562) is active in the NPPES registry as of the last update on 2024-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.