ASHOK KUMAR KUMAR DHADUVAI M.D.
NPI 1053345306
Internal Medicine - Gastroenterology in Pensacola, FL

Q: What is Ashok Kumar Dhaduvai's NPI number?

The NPI number for Ashok Kumar Dhaduvai is 1053345306. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Ashok Kumar Dhaduvai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

5151 N 9TH AVE, PENSACOLA, FL 32504(850) 416-7000 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ashok Kumar Kumar Dhaduvai M.d. NPPES

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

ASHOK KUMAR KUMAR DHADUVAI M.D. (NPI 1053345306) is an individual gastroenterology provider in Pensacola, Florida, licensed in Florida (ME60506) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1053345306

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameASHOK KUMAR KUMAR DHADUVAICredential: M.D.

Location Address5151 N 9TH AVEPensacola, FL 32504-8721

Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091

Phone(850) 416-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1977

Enumeration DateJuly 11, 2006

Last NPPES UpdateJuly 15, 2025

NPPES CertifiedJuly 15, 2025

✔ NPI 1053345306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME60506

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

5151 N 9TH AVE, Pensacola, FL 32504

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Other Identifiers 2

Medicaid57742100FL

Medicaid057742100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.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

Ashok Kumar Kumar Dhaduvai 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 ID3971526609

PECOS Enrollment IDI20060109000960

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 Ashok Kumar Dhaduvai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ashok Kumar Dhaduvai MD PA

350 mi

Gastroenterology

1649 SUN CITY CENTER PLZ STE 101
Sun City Center, FL 33573

Reassigned Medicare billing, Florida enrollment

NPI 1073715819 (813) 633-2894

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 10

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

135 services90 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

114 services114 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.

82 services62 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

71 services38 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

42 services40 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

36 services36 patients

Hospital Affiliations CMS Care Compare 5

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100077

Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services Birthing friendly

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100137

Location40100 Hwy 27Davenport, FL 33837 · Polk County

Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100231

Location8383 N Davis HwyPensacola, FL 32514 · Escambia County

Emergency services Birthing friendly

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100236

Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

82%675 patients4/55-star benchmark: 85%

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%2,167 patients4/55-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

25%976 patients2/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

94%1,278 patients4/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

3%459 patients1/55-star benchmark: 88%

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: 98% · 661 patients

Patients tobacco: 68% · 44 patients

96%661 patients4/55-star benchmark: 98%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 976 patients

2%976 patients4/55-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 20

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

MRS. VICTORIA LC GRISE ARNP

Nurse Practitioner (Family)

5151 N 9TH AVE, STE 200
PENSACOLA, FL 32504

Escambia County (850) 416-4970

MRS. JEAN MARIE HOUY ARNP

Nurse Practitioner (Neonatal)

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-4501

PRASHANTH SHANMUGHAM M.D.

Pediatrics (Pediatric Critical Care Medicine)

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-4970

GARY D WRIGHT MD

Emergency Medicine

5151 N 9TH AVE, ER
PENSACOLA, FL 32504

Escambia County (850) 416-7000

DANIELLE TUCK PHARMD

Clinical Pharmacology

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (580) 416-4565

CAROLINE HUNTER OLDWEILER DO

Student in an Organized Health Care Education/Training Program

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-1186

DR. RICHARD SLEVINSKI MD

Emergency Medicine

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-6670

SUMMER DUPREE WINTERS

Physician Assistant

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-7000

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 Ashok Kumar Dhaduvai's NPI number?

The NPI number for Ashok Kumar Dhaduvai is 1053345306. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Ashok Kumar Dhaduvai located?

Ashok Kumar Dhaduvai practices at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-7000.

What is Ashok Kumar Dhaduvai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ashok Kumar Dhaduvai enrolled in Medicare?

Yes. Ashok Kumar Dhaduvai 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 Ashok Kumar Dhaduvai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashok Kumar Dhaduvai reassigns Medicare benefits to Ashok Kumar Dhaduvai MD PA (Sun City Center, FL). 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 Ashok Kumar Dhaduvai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashok Kumar Dhaduvai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Ashok Kumar Dhaduvai 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 Ashok Kumar Dhaduvai affiliated with any hospitals?

According to CMS data, Ashok Kumar Dhaduvai is affiliated with St Josephs Hospital, Shorepoint Health Port Charlotte, Adventhealth Heart Of Florida, Hca Florida West Hospital and Hca Florida Fawcett Hospital.

When was this NPI record last updated?

The NPPES record for Ashok Kumar Dhaduvai was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.