Active NPI 1144220880 Individual Practitioner Male Practitioner

Dr. Ramesh Narine Girjashanker , MD

Internal Medicine • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ramesh Girjashanker, MD is a registered healthcare professional specializing in Internal Medicine in Melbourne, FL. Practice services are available at 1223 GATEWAY DR # 1C under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1223 Gateway Dr # 1c

Melbourne, FL 329012607

Telephone 3214343131

Associated Practice Facility / Clinic

🏢 Health First Physicians, Inc Facility NPI 1164474276

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Melbourne, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.6 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

90 Specialists

Practicing in Melbourne, FL (10650 Statewide)

Telehealth Adoption Rate

37.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$240.15	$129.90
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$161.71	$91.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	594	392	$217.14	$108.97
99213 Established patient office or other outpatient visit, typically 15 minutes	210	174	$149.90	$75.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$331.17	$166.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	12	$40.07	$14.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$216.43	$108.44
G0008 Administration of influenza virus vaccine	14	14	$46.00	$16.55
90662 Influenza vaccine split virus, preservative free	14	14	$120.93	$60.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	562	302	$219.00	$107.51
99213 Established patient office or other outpatient visit, typically 15 minutes	302	190	$149.00	$73.98
81003 Automated urinalysis test	85	81	$5.00	$2.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	31	$34.00	$15.63
87804 Detection test by immunoassay with direct visual observation for influenza virus	46	23	$34.00	$16.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	37	37	$34.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$333.00	$165.99
G0008 Administration of influenza virus vaccine	17	17	$46.00	$15.28
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$35.00	$17.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$219.00	$109.05
90662 Influenza vaccine split virus, preservative free	13	13	$107.00	$50.27
J1030 Injection, methylprednisolone acetate, 40 mg	13	11	$14.00	$6.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	540	302	$214.00	$105.62
99213 Established patient office or other outpatient visit, typically 15 minutes	357	225	$145.00	$71.88
81003 Automated urinalysis test	115	104	$6.00	$2.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	62	$41.00	$20.06
J0696 Injection, ceftriaxone sodium, per 250 mg	59	15	$3.00	$0.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$330.00	$165.06
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	16	$34.00	$16.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	26	15	$5.00	$2.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$216.00	$104.90
J1040 Injection, methylprednisolone acetate, 80 mg	23	22	$26.00	$12.87
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$34.00	$16.80
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	17	$34.00	$16.20
G0008 Administration of influenza virus vaccine	14	14	$46.00	$19.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$289.00	$144.61
J1030 Injection, methylprednisolone acetate, 40 mg	11	11	$14.00	$6.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	407	$215.96	$105.80
99213 Established patient office or other outpatient visit, typically 15 minutes	432	358	$146.96	$71.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	175	175	$218.07	$107.01
81003 Automated urinalysis test	171	147	$7.00	$3.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	127	111	$51.00	$24.73
J0696 Injection, ceftriaxone sodium, per 250 mg	112	25	$2.96	$0.66
J1040 Injection, methylprednisolone acetate, 80 mg	57	54	$20.54	$10.31
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$150.00	$74.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$332.00	$156.92
94640 Inhalation treatment for airway obstruction or sputum production	21	20	$36.10	$17.77
87804 Detection test by immunoassay with direct visual observation for influenza virus	19	14	$33.00	$16.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$291.00	$143.04
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	15	14	$1.40	$0.16
69209 Removal of impacted ear wax by washing	14	14	$25.14	$12.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	11	11	$7.45	$2.72

Medical Specialties & State Licenses

CMS Verified: 2021-02-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME 72714

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

254476800 (FL)

Commercial Insurance / Payer ID Medicare

43533X (FL)

Secondary Practice Locations

220 N Sykes Creek Pkwy Ste 301

Merritt Island, FL 329533490

Phone: 3218688312

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Hillary Abel , PsyD

Clinical Neuropsychologist

NPI 1073207155

Doctor of Psychology (Psy.D.)

William Beaudoin , APRN

Nurse Practitioner - Adult Health

NPI 1285318956

Advanced Practice Registered Nurse

Kara Maldonado , APRN

Nurse Practitioner

NPI 1407655186

Advanced Practice Registered Nurse

Ayme Garcia Munoz

Physician Assistant - Surgical

NPI 1700702743

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location February 05, 2021

Registered at 1223 GATEWAY DR # 1C, MELBOURNE, FL 329012607 (Tel: 3214343131)

📍

Updated Practice Location August 31, 2020

Registered at 220 N SYKES CREEK PKWY STE 301, MERRITT ISLAND, FL 329533490 (Tel: 3218688312)

📍

Updated Practice Location May 08, 2018

Registered at 105 S BANANA RIVER BLVD FL 2, COCOA BEACH, FL 329315041 (Tel: 3218688312)

📍

Updated Business Mailing Address May 08, 2018

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3218688312)

✅

NPI Profile Active May 22, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2012

Registered at 105 S BANANA RIVER BLVD, 1ST FLOOR, COCOA BEACH, FL 32931 (Tel: 3218688313)

📍

Updated Business Mailing Address May 22, 2012

Registered at PO BOX 561600, ROCKLEDGE, FL 329561600 (Tel: 3214344600)

👤

Provider Name / Credentials Updated May 22, 2012

Recorded as RAMESH GIRJASHANKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2012

Internal Medicine (License #ME 72714 in FL)

🟢

Initial NPI Registration & Enumeration July 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144220880

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 22, 2005

Last Update: February 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 3214343131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.