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Dr. Monish B. Gariwala, MD

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Specializes in: Pain Medicine and Physiatry (Physical Medicine & Rehabilitation)

Smt. NHL Municipal Medical College (1988)

Professional interests include: spinal cord stimulation (SCS), lifestyle modification, neuromuscular disorders (nerve & muscle diseases), and more.

9000 Franklin Square Drive
Baltimore, MD 21237

(443) 777-7000

Dr. Monish B. Gariwala, MD is a pain medicine specialist in Towson, MD specializing in pain medicine and physiatry (physical medicine & rehabilitation). He graduated from Smt. NHL Municipal Medical College in 1988 and has 38 years of experience. Dr. Monish B. Gariwala, MD is affiliated with MedStar Franklin Square Medical Center and MedStar Health.

Office Locations

7505 Osler Drive Suite 204
Towson, MD 21204

(443) 519-5353

(443) 519-5317

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MedStar Health

9000 Franklin Square Drive
Baltimore, MD 21237

(443) 777-7000

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Some issues Dr. Monish B. Gariwala, MD can help you with:

Enteroscopy

Enteroscopy visually examines the small bowel and identifies such issues as bleeding, tumors, polyps, ulcers, and swollen lymph nodes. Common reasons this exam may be ordered are abnormal X-ray results and unexplained diarrhea.

Enteroscopies may be used alone or in combination with other procedures. For example, if a doctor suspects malignancy (cancer) in the small bowel, she may use an enteroscope to take a sample of tissue from the small bowel and have it examined in a laboratory. If there is a blockage in the small intestine that cannot be surgically removed, an enteroscopy-guided stent placement may help relieve some of the symptoms associated with the obstruction. Enteroscopes may also be used to treat intestinal bleeding and remove abnormal growths like tumors and polyps, as well as foreign objects that might have found their way into the small bowel.

There are several ways to perform an enteroscopy:

Push enteroscopy involves the use of a long tube with a camera, called an enteroscope. Depending on the location of the problem, the enteroscope is either passed through the mouth or rectum. This technique is often used to detect and stop bleeding in the upper small intestine.
Balloon enteroscopy uses scopes that have tiny balloons at the tip. The balloons inflate and deflate to help make the passage of the scope into the small bowel easier. This method is used when there is a need to access and treat certain parts of the small intestine that push enteroscopy cannot reach.
Capsule enteroscopy involves swallowing a capsule with a tiny camera inside it. As the capsule travels through the small intestine, the camera records and sends images that are then downloaded and analyzed by the doctor. The capsule eventually leaves the body during bowel movement. If the doctor needs to visualize the entire small intestine, capsule enteroscopy is the only option. The only drawback to this technique is that it cannot be combined with any treatment.

Enteroscopy is typically performed at the doctor's office and takes about 20 to 30 minutes, but may take longer if combined with another procedure. Patients may have a sore throat for a few hours if the scope was inserted through the mouth. Normal activities may be resumed about 24 hours following enteroscopy.

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

Spinal Cord Stimulation (SCS)

If conservative treatment options and other spine surgeries have failed to provide someone pain relief, they may be a candidate for spinal cord stimulation. Spinal cord stimulation is a treatment for chronic back or leg pain. A spinal cord stimulator, which is surgically implanted underneath the skin (subcutaneously), can deliver electrical pulses to the area of pain. These pulses will reach the brain before the pain signals can, so instead of pain, patients will experience a tingling sensation.

To determine if spinal cord stimulation may benefit someone, they will first undergo a trial period. During this period, a temporary electrode lead is placed subcutaneously above the spinal cord, and it is connected to an external stimulator that they will carry with them. The procedure is typically completed within an hour, and patients may return home the same day. After a few days or weeks, the trial stimulator will be assessed for effectiveness. If the trial is unsuccessful, patients may undergo a second trial period, or the leads will be removed, and other treatment options will be considered. If, instead, a patient's pain is relieved during the trial, they will undergo surgery for implantation of a permanent stimulator and leads.

The components of a spinal cord stimulation system include the stimulator, the leads, and the wire that connects the two. Implantation of permanent leads may be percutaneous (through the skin) or involve a surgical incision. The spinal cord stimulator is implanted subcutaneously in the abdomen or buttock. The stimulator is battery-powered and may be rechargeable. If the battery is not rechargeable, it will last around 2-5 years, and a patient will need surgery to replace it.Their doctor will program the neurostimulator following the procedure.

After spinal cord stimulator surgery, patients may be released from the hospital the same day or the next one. In the weeks following the operation, patients will need to work with their doctors to find the optimal settings for their neurostimulator. Activities such as driving, twisting, bending, raising one's arms, sleeping on one's stomach, or lifting heavy objects should be limited.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Monish B. Gariwala, MD treated as a pain medicine specialist in Towson, MD during 2012 were diagnostic procedures.

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

diagnostic procedures	241
doctor visit	4271

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Monish B. Gariwala, MD treated as a pain medicine specialist in Towson, MD during 2013 were diagnostic procedures.

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

diagnostic procedures	22
doctor visit	4414

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	165
Female	346

**Ethnicity**
Non-Hispanic White	0
Black	358
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	94
From 75 to 84	0
85 and over	0
Less than 65	377

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2013

Hypertension	70
High Cholesterol	46
Stroke	5
Ischemic Heart Disease	27
Depression	40
Chronic Kidney Disease	20
Asthma	22
Osteoperosis	5
Atrial Fibrilation	4
Heart Failure	19
Chronic Obstructive Pulmonary Disease	25
Diabetes	42
Dementia	4
Cancer	7

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	4334

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	137
Female	317

**Ethnicity**
Non-Hispanic White	0
Black	315
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	99
From 75 to 84	0
85 and over	0
Less than 65	323

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2014

Hypertension	71
High Cholesterol	44
Stroke	3
Ischemic Heart Disease	29
Depression	44
Chronic Kidney Disease	17
Asthma	19
Osteoperosis	5
Atrial Fibrilation	3
Heart Failure	17
Chronic Obstructive Pulmonary Disease	23
Diabetes	44
Dementia	3
Cancer	7

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	3936

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	228
Female	606

**Ethnicity**
Non-Hispanic White	0
Black	594
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	202
From 75 to 84	0
85 and over	0
Less than 65	570

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2015

Hypertension	73
High Cholesterol	45
Stroke	3
Ischemic Heart Disease	29
Depression	45
Chronic Kidney Disease	21
Asthma	24
Osteoperosis	6
Atrial Fibrilation	3
Heart Failure	20
Chronic Obstructive Pulmonary Disease	24
Diabetes	46
Dementia	3
Cancer	8

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	3807

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	124
Female	287

**Ethnicity**
Non-Hispanic White	0
Black	296
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	112
From 75 to 84	0
85 and over	0
Less than 65	265

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2016

Hypertension	73
High Cholesterol	45
Stroke	4
Ischemic Heart Disease	27
Depression	47
Chronic Kidney Disease	29
Asthma	33
Osteoperosis	4
Atrial Fibrilation	4
Heart Failure	19
Chronic Obstructive Pulmonary Disease	24
Diabetes	46
Dementia	6
Cancer	7

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	3435

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	94
Female	259

**Ethnicity**
Non-Hispanic White	0
Black	248
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	0
85 and over	0
Less than 65	223

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2017

Hypertension	74
High Cholesterol	42
Stroke	5
Ischemic Heart Disease	27
Depression	50
Chronic Kidney Disease	35
Asthma	19
Osteoperosis	5
Atrial Fibrilation	4
Heart Failure	21
Chronic Obstructive Pulmonary Disease	22
Diabetes	49
Dementia	7
Cancer	8

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	2642

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	88
Female	233

**Ethnicity**
Non-Hispanic White	0
Black	223
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	98
From 75 to 84	0
85 and over	0
Less than 65	191

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2018

Hypertension	73
High Cholesterol	47
Stroke	4
Ischemic Heart Disease	28
Depression	44
Chronic Kidney Disease	36
Asthma	17
Osteoperosis	5
Atrial Fibrilation	7
Heart Failure	19
Chronic Obstructive Pulmonary Disease	27
Diabetes	50
Dementia	6
Cancer	7

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	2317

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	74
Female	191

**Ethnicity**
Non-Hispanic White	0
Black	187
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	88
From 75 to 84	0
85 and over	0
Less than 65	157

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2019

Hypertension	75
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	28
Depression	44
Chronic Kidney Disease	34
Asthma	19
Osteoperosis	6
Atrial Fibrilation	5
Heart Failure	22
Chronic Obstructive Pulmonary Disease	25
Diabetes	49
Dementia	6
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Monish B. Gariwala, MD treated as a pain medicine specialist in Towson, MD during 2020 were injections, aspiration and pain management.

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

aspiration	20
doctor visit	2580
injections	34
pain management	14

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	91
Female	204

**Ethnicity**
Non-Hispanic White	0
Black	176
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	102
From 75 to 84	0
85 and over	0
Less than 65	151

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2020

Hypertension	66
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	27
Depression	39
Chronic Kidney Disease	29
Asthma	13
Osteoperosis	7
Atrial Fibrilation	4
Heart Failure	19
Chronic Obstructive Pulmonary Disease	17
Diabetes	39
Dementia	4
Cancer	7

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Monish B. Gariwala, MD treated as a pain medicine specialist in Towson, MD during 2021 were pain management, injections, nerve block and spinal procedures.

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	2843
injections	72
nerve block	59
pain management	72
spinal procedures	59
vascular procedures	15

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	97
Female	217

**Ethnicity**
Non-Hispanic White	0
Black	188
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	110
From 75 to 84	0
85 and over	0
Less than 65	149

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2021

Hypertension	71
High Cholesterol	54
Stroke	6
Ischemic Heart Disease	31
Depression	41
Chronic Kidney Disease	32
Asthma	16
Osteoperosis	7
Atrial Fibrilation	6
Heart Failure	19
Chronic Obstructive Pulmonary Disease	17
Diabetes	44
Dementia	5
Cancer	9

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Monish B. Gariwala, MD treated as a pain medicine specialist in Towson, MD during 2022 were pain management, nerve block, spinal procedures and injections.

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	2951
injections	46
minimally invasive procedures	30
nerve block	46
nerve procedures	30
pain management	76
spinal procedures	46

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	94
Female	219

**Ethnicity**
Non-Hispanic White	0
Black	190
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	113
From 75 to 84	0
85 and over	0
Less than 65	143

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2022

Hypertension	75
High Cholesterol	66
Stroke	7
Ischemic Heart Disease	22
Depression	37
Chronic Kidney Disease	18
Asthma	20
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	13
Chronic Obstructive Pulmonary Disease	25
Diabetes	43
Dementia	0
Cancer	13

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Monish B. Gariwala, MD treated as a pain medicine specialist in Towson, MD during 2023 were pain management, injections, nerve procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

doctor visit	2456
injections	34
minimally invasive procedures	23
nerve block	14
nerve procedures	23
pain management	57
spinal procedures	14

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Male	77
Female	185

**Ethnicity**
Non-Hispanic White	0
Black	162
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	98
From 75 to 84	0
85 and over	0
Less than 65	121

Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD in 2023

Hypertension	75
High Cholesterol	69
Stroke	11
Ischemic Heart Disease	22
Depression	42
Chronic Kidney Disease	21
Asthma	24
Osteoperosis	7
Atrial Fibrilation	15
Heart Failure	17
Chronic Obstructive Pulmonary Disease	30
Diabetes	45
Dementia	0
Cancer	12

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Monish B. Gariwala, MD for Medicare patients.

The highest averages for the top procedures that Dr. Monish B. Gariwala, MD treated as a pain medicine specialist in Towson, MD were diagnostic procedures, pain management, injections and nerve block.

aspiration	20
diagnostic procedures	131
doctor visit	3332
injections	46
minimally invasive procedures	26
nerve block	39
nerve procedures	26
pain management	54
spinal procedures	39
vascular procedures	15

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Monish B. Gariwala, MD.

**Gender**
Female	255
Male	105

**Ethnicity**
Black / African American	244
Asian / Pacific Islander	0
Non-Hispanic White	0
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	0
85 and over	0
Less than 65	222
65 to 74	101

Average of Total of Conditions of Medicare patients treated by Dr. Monish B. Gariwala, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Monish B. Gariwala, MD treated were hypertension, high cholesterol, diabetes and depression.

Hypertension	66
High Cholesterol	46
Stroke	4
Ischemic Heart Disease	24
Depression	39
Chronic Kidney Disease	24
Asthma	18
Osteoporosis	5
Heart Failure	17
Chronic Obstructive Pulmonary Disease	21
Diabetes	41
Atrial Fibrillation	5
Dementia	3
Cancer	7

Education & Training

Dr. Monish B. Gariwala, MD graduated from Smt. NHL Municipal Medical College in 1988. He completed residency at Sinai Hospital of Baltimore. He is certified by the Board Certification and has a state license in Maryland.

Medical School: Smt. NHL Municipal Medical College (1988)

Residency: Sinai Hospital of Baltimore (2003)

Board Certification: Board Certification

Licensed In: Maryland

Affiliations & Hospitals

Dr. Monish B. Gariwala, MD is associated with these hospitals and organizations:

MedStar Franklin Square Medical Center

MedStar Health

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Monish B. Gariwala, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Collegium Pharmaceutical, Inc.	$428 XTAMPZA $300	Xtampza ER $110	XtampzaER $18
Pfizer Inc.	$347 FLECTOR PATCH $98	EMBEDA $94	LYRICA $69	REYVOW $18	CELEBREX $13	Other $55
Daiichi Sankyo Inc.	$155 Morphabond ER $78	MOVANTIK $77
Purdue Pharma L.P.	$142 BUTRANS $61	HYSINGLA ER $35	OXYCONTIN $17	SYMPROIC $15	$15
St. Jude Medical, Inc.	$139 Neuro-Chronic Pain $122	S-Series $17
Other	$424 Relistor $48	SPECTRA SYSTEM $38	ZOHYDRO ER $36	Bone Healing $34	Sprix $33	Other $234

**Types of Payments**
Food and Beverage	$1,612
Education	$24

Biography

Dr. Monish Gariwala is a physiatry (physical medicine & rehabilitation) and pain medicine specialist. He graduated from Smt. NHL Municipal Medical College and then he performed his residency at Sinai Hospital of Baltimore. His areas of expertise include sports health, knee pain, and bursitis. In addition to English, Dr. Gariwala (or staff) speaks Gujarati and Hindi. He is professionally affiliated with MedStar Franklin Square Medical Center.