Vinodrai Ghetiya, M.D.
NPI 1568410249 · Internal Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vinodrai Ghetiya, M.D. is a Internal Medicine Physician provider in Toms River, NJ (NPI 1568410249).
Provider details
- NPI number
- 1568410249
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA06495500 (NJ)
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
20 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
3,367 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 727 | $82 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 460 | $140 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 389 | $85 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 300 | $55 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 207 | $69 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 108 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 376 | 122 |
| Levothyroxine Sodium | 265 | 78 |
| Losartan Potassium | 188 | 60 |
| Furosemide | 187 | 54 |
| Amlodipine Besylate | 181 | 59 |
| Potassium Chloride | 176 | 51 |
| Pantoprazole Sodium | 163 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$78 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
- 2006-05-04
- Last updated
- 2010-06-23
Frequently asked questions
- What is Vinodrai Ghetiya's NPI number?
- Vinodrai Ghetiya's National Provider Identifier (NPI) is 1568410249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vinodrai Ghetiya's specialty?
- Vinodrai Ghetiya is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vinodrai Ghetiya located?
- Vinodrai Ghetiya's practice location on file with NPPES is 1749 Hooper Ave, Toms River, NJ 08753-8130.
- What is Vinodrai Ghetiya's phone number?
- The practice phone number listed in the NPPES registry for Vinodrai Ghetiya is (732) 864-7030.
- Does Vinodrai Ghetiya accept Medicare?
- Vinodrai Ghetiya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vinodrai Ghetiya's NPI active?
- Yes — Vinodrai Ghetiya's NPI (1568410249) is active in the NPPES registry as of the last update on 2010-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.