Individual provider Active NPI

Ghanshyam Himmatbhai Ghelani, M.D.

  • Hematology & Oncology Physician
  • Tyler, TX
National Provider Identifier
1407297385
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
U9533 Issued in TX
Practice address
721 Clinic Dr
Tyler, TX 75701-2043
Phone
(903) 592-0629
NPI assigned
Jul 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT203125 PA
Hematology & Oncology Physician 207RH0003X U9533 TX Primary

Addresses

Primary practice location

721 Clinic Dr
Tyler, TX 75701-2043

Mailing address

11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7200

Other practice location 1

501 Madison Ave
Second Floor
Scranton, PA 18510-2401
Phone (570) 343-2383 ext. 2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000242 TX Practitioner - Hematology/Oncology 0840591590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11937 US Hwy 271
Tyler, TX 75708-3154
Phone (903) 877-7200

Hospital & facility affiliations

  • University of Texas Health Science Center at Tyler Hospital, Tyler, TX, CCN 450690
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Ut Health East Texas Jacksonville Hospital Hospital, Jacksonville, TX, CCN 450194
  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U9533TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Jul 1, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jun 1, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jun 1, 2024 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Jul 1, 2024 Accepting new patients
University of Texas Health Science Center at Tyler Past Accepting new patients

Locations

115 Medical Cir
Ste 106
Athens, TX 75751
Phone (903) 284-5024

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

203 Nacogdoches St
Ste 230
Jacksonville, TX 75766
Phone (903) 303-2339

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

721 Clinic Dr
Tyler, TX 75701
Phone (903) 535-6301

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

Interoperability endpoints

  • Direct secure messaging: gghelani1134255@ahs.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1407297385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11937 US HIGHWAY 271",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757083154",
            "telephone_number": "903-877-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CLINIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012043",
            "telephone_number": "903-592-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Madison Ave",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102401",
            "country_code": "US",
            "telephone_number": "570-343-2383 x2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHELANI",
        "first_name": "GHANSHYAM",
        "middle_name": "HIMMATBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT203125",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "U9533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.