VIPIN RAMPRASAD LOHIYA M.D.
NPI 1013295922
Internal Medicine - Hematology & Oncology in Fayetteville, GA

Active since July 26, 2011PECOS Enrolled
98.4/100
CMS Quality Rating
1267 HIGHWAY 54 W STE 4200, FAYETTEVILLE, GA 30214(678) 829-1060(678) 829-1099 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2020, Mar 17, 2018, Jun 29, 2017 (3 updates tracked since 2017).

About Vipin Ramprasad Lohiya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIPIN RAMPRASAD LOHIYA M.D. (NPI 1013295922) is an individual hematology & oncology provider in Fayetteville, Georgia, licensed in Georgia (78074) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013295922
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameVIPIN RAMPRASAD LOHIYACredential: M.D.
Location Address1267 HIGHWAY 54 W STE 4200Fayetteville, GA 30214-2112
Mailing Address1800 Howell Mill Rd Nw Ste 800Atlanta, GA 30318-0922 · (404) 350-9853 · Fax (404) 477-1162
Fax(678) 829-1099
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 26, 2011
Last NPPES UpdateMay 12, 20203 updates tracked since enumeration
NPPES CertifiedMay 12, 2020
NPI 1013295922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in GA · 78074
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1267 HIGHWAY 54 W STE 4200, Fayetteville, GA 30214

Secondary Practice Locations 3

Location 11240 Eagles Landing Pkwy Ste 260Stockbridge, GA 30281-5173 · Phone (678) 854-9500 · Fax (678) 854-9502
Location 2775 Poplar Rd Ste 310Newnan, GA 30265-8303 · Phone (770) 251-2590 · Fax (770) 251-1490
Location 31800 Howell Mill Rd NW Ste 800Atlanta, GA 30318-0922 · Phone (404) 350-9853 · Fax (404) 350-8407

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vipin Ramprasad Lohiya M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820235187
PECOS Enrollment IDI20170719002564
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 41

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
32,800 services24 patients
Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram J1442
Filgrastim (G-CSF) is a medication given via injection to stimulate your body's production of neutrophils, a type of white blood cell that fights infection. It's often used in patients with low neutrophil counts due to certain treatments or conditions.
30,000 services15 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
14,220 services46 patients
Injection, oxaliplatin, 0.5 mg J9263
Oxaliplatin is a chemotherapy drug that is administered via injection. It works by stopping cancer cells from growing and dividing, which helps in the treatment of certain types of cancer. The dosage is 0.5 mg, and it's important to follow your doctor's instructions for this treatment.
13,500 services12 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
5,700 services46 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,532 services48 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%408 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%2,992 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%553 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
96%1,352 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
69%2,993 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%369 patients4/55-star benchmark: 90%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 435 patients
Patients tobacco: 98% · 435 patients
83%40 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
19%896 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1267 HIGHWAY 54 W STE 4200
FAYETTEVILLE, GA 30214
Internal Medicine (Hematology & Oncology)
1267 HIGHWAY 54 W STE 4200
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1267 HIGHWAY 54 W STE 4200
FAYETTEVILLE, GA 30214
Internal Medicine (Hematology & Oncology)
1267 HIGHWAY 54 W STE 4200
FAYETTEVILLE, GA 30214
Nurse Practitioner (Adult Health)
1267 HIGHWAY 54 W STE 4200
FAYETTEVILLE, GA 30214
Nurse Practitioner
1267 HIGHWAY 54 W STE 4200
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1267 HIGHWAY 54 W STE 4200
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1267 HIGHWAY 54 W STE 4200
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vipin Ramprasad Lohiya's NPI number?

The NPI number for Vipin Ramprasad Lohiya is 1013295922. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Vipin Ramprasad Lohiya located?

Vipin Ramprasad Lohiya practices at 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214. The listed phone number is (678) 829-1060.

What is Vipin Ramprasad Lohiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Vipin Ramprasad Lohiya enrolled in Medicare?

Yes. Vipin Ramprasad Lohiya is registered in the Medicare PECOS enrollment system.

What insurance does Vipin Ramprasad Lohiya accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Vipin Ramprasad Lohiya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vipin Ramprasad Lohiya affiliated with any hospitals?

According to CMS data, Vipin Ramprasad Lohiya is affiliated with Piedmont Henry Hospital, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Vipin Ramprasad Lohiya was last updated on May 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.