NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1235868902 DO
Verify on CMS → Redona Gjoka, DO
Emergency Medicine Physician in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
54
Medicare Part D claims · 36 beneficiaries · Emergency Medicine Physician avg: 352
What the federal data shows
Redona Gjoka, DO filed 54 Medicare Part D claims in 2023 as an Emergency Medicine Physician in Philadelphia, Pennsylvania.
- 54
- Part D claims, 2023
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Redona Gjoka, DO
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1235868902), first enumerated 06/08/2022.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 54 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Redona Gjoka, DO's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1235868902 · Emergency Medicine Physician
NPI-10 · ENUM-RECENT · TAX-MEGA · RX-TRACE · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1235868902
- ENUM-RECENT 2022
- TAX-MEGA 64K Emergency Medicine
- RX-TRACE 54
- BOOK-LIGHT 3,617 in Pennsylvania
- PHOTO-ENUM Fidel Perez · 2022
Redona Gjoka, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
54 ≥ 0th percentile 0% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Redona Gjoka, DO practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Redona Gjoka, DO?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
54 85% vs specialty avg
Specialty distribution in Pennsylvania
How Emergency Medicine Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Emergency Medicine Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1235868902 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 06/08/2022 |
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Redona Gjoka, DO. To verify Redona Gjoka, DO's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
54
Total Claims
$784
Total Drug Cost
36
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 55
- Total Day Supply
- 708
- Generic Drug Cost
- $697
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 70.1 years
- Avg HCC Risk Score
- 2.12
- Gender Split
- 47% female / 53% male
Emergency Medicine Physician Overview
How Redona Gjoka, DO fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Redona Gjoka, DO's 54 claims are below the specialty average of 352.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gjoka, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2022)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Gjoka.
One of 3,617 Emergency Medicine Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Nicole Abate
MD
Phila, PA
Osman Abbasi
Bethlehem, PA
Dr. Michael Abboud
MD
Philadelphia, PA
Dr. Stephanie Abbuhl
MD
Philadelphia, PA
Dr. Rehab Abdel-Kariem
M.D.
Philadelphia, PA
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Redona Gjoka, DO's specialty? ▼
Redona Gjoka, DO specializes in Emergency Medicine Physician and practices in Philadelphia, Pennsylvania. Credentials: DO.
How much does Redona Gjoka, DO prescribe under Medicare Part D? ▼
In 2023, Redona Gjoka, DO wrote 54 Medicare Part D claims totaling $784 in drug costs for 36 beneficiaries.
Where is Redona Gjoka, DO located? ▼
Redona Gjoka, DO is located at 10800 KNIGHTS RD, Philadelphia, PA, 19114. Phone: (215) 612-5161.
What is Redona Gjoka, DO's NPI number? ▼
Redona Gjoka, DO's National Provider Identifier (NPI) is 1235868902, issued on 06/08/2022.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does Redona Gjoka, DO accept Medicare? ▼
Redona Gjoka, DO appears in CMS Medicare data with 54 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Redona Gjoka, DO's credentials? ▼
Redona Gjoka, DO's NPI is 1235868902 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.