Vidur Pravin Ghantiwala, DO - Medicare Physical Medicine & Rehabilitation in Naples, FL

Vidur Pravin Ghantiwala, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Naples, Florida. His current practice location is 4513 Executive Dr, Naples, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 591-2803.

Vidur Pravin Ghantiwala is licensed to practice in Florida (license number OS18179) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043710981.

Contact Information

Vidur Pravin Ghantiwala, DO
4513 Executive Dr,
Naples, FL 34119-9033
(239) 591-2803
Not Available



Physician's Profile

Full NameVidur Pravin Ghantiwala
GenderMale
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location4513 Executive Dr, Naples, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043710981
  • Provider Enumeration Date: 02/16/2018
  • Last Update Date: 02/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294113064
  • Enrollment ID: I20230717000146

Medical Identifiers

Medical identifiers for Vidur Pravin Ghantiwala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043710981NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine OS18179 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vidur Pravin Ghantiwala allows following entities to bill medicare on his behalf.
Entity NameKorunda Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609056282
PECOS PAC ID: 5092895334
Enrollment ID: O20071228000056

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vidur Pravin Ghantiwala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vidur Pravin Ghantiwala, DO
4513 Executive Dr,
Naples, FL 34119-9033

Ph: (239) 591-2803
Vidur Pravin Ghantiwala, DO
4513 Executive Dr,
Naples, FL 34119-9033

Ph: (239) 591-2803

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Physical Medicine & Rehabilitation Doctors in Naples, FL

Dr. Eduardo F Figueroa, MD
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 3785 Airport Pulling Rd, Suite A Eduardo F Figueroa, Naples, FL 34105
Phone: 239-435-1610    Fax: 239-435-1612
Prathima Moorthy, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 4760 Tamiami Trail North, Suite 27, Naples, FL 34109
Phone: 239-593-9594    Fax: 239-593-4099
Dr. Luga Podesta, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1875 Veterans Park Dr Ste 2201, Naples, FL 34109
Phone: 239-631-1960    Fax: 239-631-5967
Paul Hurd Ii,
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2575 North Brooke Plaza Dr, Ste 207, Naples, FL 34119
Phone: 239-919-4342    
Colin Lee Kanar, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 11983 Tamiami Trl N, Suite 100d, Naples, FL 34110
Phone: 239-593-0918    Fax: 239-593-0927
Magid Azam Al-kimawi, M.D.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 1285 Creekside Blvd E Unit 102, Naples, FL 34109
Phone: 239-624-0960    Fax: 239-624-0961

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