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DR. BHAGIRATHBHAI RAVJIBHAI DHOLARIA M.D.
NPI 1033491642
Internal Medicine - Hematology & Oncology in Nashville, TN

Active since September 09, 2011PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
2220 PIERCE AVE, NASHVILLE, TN 37232(615) 875-9731 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 15, 2020, Sep 10, 2018, Jul 20, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Bhagirathbhai Ravjibhai Dholaria M.d. NPPES

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

DR. BHAGIRATHBHAI RAVJIBHAI DHOLARIA M.D. (NPI 1033491642) is an individual hematology & oncology provider in Nashville, Tennessee, licensed in Tennessee (57995) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1033491642
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. BHAGIRATHBHAI RAVJIBHAI DHOLARIACredential: M.D.
Location Address2220 PIERCE AVENashville, TN 37232
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 875-9731
Phone(615) 875-9731
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 9, 2011
Last NPPES UpdateMarch 31, 20224 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1033491642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in TN · 57995✔ Licensed in FL · ME118506
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.
2220 PIERCE AVE, Nashville, TN 37232
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Secondary Practice Location 1

Location 11211 Medical Center DrNashville, TN 37232 · Phone (615) 322-5000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bhagirathbhai Ravjibhai Dholaria M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911126727
PECOS Enrollment IDI20181022002357
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.

Medicare Billing Reassignment

Medicare enrollment records show Bhagirathbhai Dholaria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vanderbilt Health Clinicians, LLC
0.6 mi
Hematology & Oncology
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
  • Reassigned Medicare billing, Tennessee enrollment
  • 127 clinicians in this Medicare group
NPI 1518726900 (615) 322-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
388 services207 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services53 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims14 services$18.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims14 services$109.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ARVIND KANT PANDEY
Internal Medicine (Cardiovascular Disease)
2220 PIERCE AVE, VUMC 383 PRB
NASHVILLE, TN 37232
Davidson County (615) 936-1713
VICTORIA ROULIER
Registered Nurse
2220 PIERCE AVE
NASHVILLE, TN 37232
Davidson County (615) 936-6725
BESHOI EMAD GREES
Student in an Organized Health Care Education/Training Program
2220 PIERCE AVE
NASHVILLE, TN 37232
Davidson County (281) 352-6458
GABRIELLE PIERSON SEYMORE MS
Student in an Organized Health Care Education/Training Program
2220 PIERCE AVE
NASHVILLE, TN 37232
Davidson County (615) 343-9241
CYNTHIA WHEELER ACNP-BC
Nurse Practitioner (Acute Care)
2220 PIERCE AVE, PRB SUITE 597
NASHVILLE, TN 37232
Davidson County (615) 322-2391
DR. PARTH CHETAN PATEL DO
Student in an Organized Health Care Education/Training Program
2220 PIERCE AVE
NASHVILLE, TN 37232
Davidson County (615) 322-5000
MS. ROBIN LEE CHAPMAN APRN-BC, MSN
Nurse Practitioner (Family)
2220 PIERCE AVE, PRESTON RESEARCH BUILDING ROOM 777
NASHVILLE, TN 37232
Davidson County (615) 936-8422
DR. OMER NEGMELDIN ALSHEIKH MD
Internal Medicine
2220 PIERCE AVE
NASHVILLE, TN 37232
Davidson County (615) 936-1753

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 Bhagirathbhai Dholaria's NPI number?

The NPI number for Bhagirathbhai Dholaria is 1033491642. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Bhagirathbhai Dholaria located?

Bhagirathbhai Dholaria practices at 2220 Pierce Ave, Nashville, TN 37232. The listed phone number is (615) 875-9731.

What is Bhagirathbhai Dholaria's specialty?

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

Is Bhagirathbhai Dholaria enrolled in Medicare?

Yes. Bhagirathbhai Dholaria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bhagirathbhai Dholaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhagirathbhai Dholaria reassigns Medicare benefits to Vanderbilt Health Clinicians, LLC (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bhagirathbhai Dholaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bhagirathbhai Dholaria accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Bhagirathbhai Dholaria 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 Bhagirathbhai Dholaria affiliated with any hospitals?

According to CMS data, Bhagirathbhai Dholaria is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Bhagirathbhai Dholaria was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.