1. Home
  2. Directory
  3. California
  4. San Clemente
  5. Internal Medicine
  6. NPI Profile

DR. DARSHANA RAJESH KADAKIA MD
NPI 1114949104
Internal Medicine - Critical Care Medicine in San Clemente, CA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
910 S EL CAMINO REAL STE 100, SAN CLEMENTE, CA 92672(949) 492-4994(949) 492-4995 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Darshana Rajesh Kadakia Md NPPES

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

DR. DARSHANA RAJESH KADAKIA MD (NPI 1114949104) is an individual critical care medicine provider in San Clemente, California, licensed in California (A41856) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1986).

NPPES Registry Identity

NPI1114949104
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. DARSHANA RAJESH KADAKIACredential: MD
Location Address910 S EL CAMINO REAL STE 100San Clemente, CA 92672-4279
Mailing Address910 S El Camino Real Ste 100San Clemente, CA 92672-4279 · (949) 492-4994 · Fax (949) 492-4995
Phone(949) 492-4994
Fax(949) 492-4995
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1986
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1114949104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A41856
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License A41856 (CA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A41856 (CA)
910 S EL CAMINO REAL STE 100, San Clemente, CA 92672
Open in Google Maps ↗

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. Darshana Rajesh Kadakia Md 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 ID1355533134
PECOS Enrollment IDI20101012000776
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 Reassignments

2

Medicare enrollment records show Darshana Kadakia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Darshana R. Kadakia MD Inc
Same address
Pulmonary Disease
910 S EL CAMINO REAL, STE 100
San Clemente, CA 92672
  • Reassigned Medicare billing, California enrollment
NPI 1285937276 (949) 492-4994
Rajesh J Kadakia M D A Medical Corporation
0.9 mi
Emergency Medical Services
910 S EL CAMINO REAL
San Clemente, CA 92672
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1639268139 (949) 492-4994

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 11

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.
496 services77 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.
154 services81 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
123 services33 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
122 services33 patients
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.
96 services42 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
83 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92672 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%77 patients3/55-star benchmark: 100%
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…
100%127 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%108 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers65 claims66 services$185.26 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 2

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

OPTIMUM WELLNESS AND WEIGHT LOSS
Clinic/Center
910 S EL CAMINO REAL STE 100
SAN CLEMENTE, CA 92672
Orange County (949) 363-3162
AZADEH SHAMS CHIROPRACTIC INC.
Chiropractor
910 S EL CAMINO REAL STE 100
SAN CLEMENTE, CA 92672
Orange County (970) 825-3071

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 Darshana Kadakia's NPI number?

The NPI number for Darshana Kadakia is 1114949104. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Darshana Kadakia located?

Darshana Kadakia practices at 910 S El Camino Real Ste 100, San Clemente, CA 92672. The listed phone number is (949) 492-4994.

What is Darshana Kadakia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Darshana Kadakia enrolled in Medicare?

Yes. Darshana Kadakia 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 organizations bill Medicare for Darshana Kadakia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darshana Kadakia reassigns Medicare benefits to 2 organizations: Darshana R. Kadakia MD Inc (San Clemente, CA) and Rajesh J Kadakia M D A Medical Corporation (San Clemente, CA). Each 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 Darshana Kadakia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Darshana Kadakia was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.