MANOJKUMAR A DOBARIYA MD
NPI 1164717401
Family Medicine in Dallas, TX

Active since June 15, 2011PECOS EnrolledAccepts Medicare Assignment
3427 TRINITY MILLS RD STE 800, DALLAS, TX 75287(972) 478-8800(972) 478-8813 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2022, Apr 12, 2017, Nov 18, 2016 (3 updates tracked since 2016).

About Manojkumar A Dobariya Md NPPES

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

MANOJKUMAR A DOBARIYA MD (NPI 1164717401) is an individual family medicine provider in Dallas, Texas, licensed in Texas (Q0748) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Sana Healthcare Carrollton D/b/a Carrollton Regional Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164717401
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMANOJKUMAR A DOBARIYACredential: MD
Location Address3427 TRINITY MILLS RD STE 800Dallas, TX 75287-6203
Mailing Address3427 Trinity Mills Rd Ste 800Dallas, TX 75287-6203 · (972) 478-8800 · Fax (972) 478-8813
Fax(972) 478-8813
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 15, 2011
Last NPPES UpdateDecember 23, 20223 updates tracked since enumeration
NPPES CertifiedDecember 23, 2022
NPI 1164717401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · Q0748 Licensed in CA · A128975 Licensed in AR · E-8031
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3427 TRINITY MILLS RD STE 800, Dallas, TX 75287

Other Identifiers 1

Medicaid199727001AR

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 and accepts Medicare assignment

Manojkumar A Dobariya 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 ID1254575293
PECOS Enrollment IDI20141009001827
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 6

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.

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.
154 services145 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
129 services86 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.
86 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
80 services76 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.
34 services15 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
27 services11 patients

Hospital Affiliations CMS Care Compare 2

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

2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75287 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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…
92%51 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.

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.

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
5 suppliers25 claims25 services$56.33 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 5

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

Pharmacist
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287
Family Medicine
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287
Internal Medicine
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287
Clinic/Center (Primary Care)
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287
Family Medicine
3427 TRINITY MILLS RD STE 800
DALLAS, TX 75287

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 Manojkumar Dobariya's NPI number?

The NPI number for Manojkumar Dobariya is 1164717401. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Manojkumar Dobariya located?

Manojkumar Dobariya practices at 3427 Trinity Mills Rd Ste 800, Dallas, TX 75287. The listed phone number is (972) 478-8800.

What is Manojkumar Dobariya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manojkumar Dobariya enrolled in Medicare?

Yes. Manojkumar Dobariya 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.

What insurance does Manojkumar Dobariya accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Manojkumar Dobariya 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 Manojkumar Dobariya affiliated with any hospitals?

According to CMS data, Manojkumar Dobariya is affiliated with Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center and Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Manojkumar Dobariya was last updated on December 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.