POOJABEN DHORAJIYA
NPI 1275055311
Pathology - Anatomic Pathology & Clinical Pathology in Kansas City, KS

Active since July 11, 2017PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160(913) 588-7013 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 29, 2023, Jul 11, 2017 (2 updates tracked since 2017).

About Poojaben Dhorajiya NPPES

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

POOJABEN DHORAJIYA (NPI 1275055311) is an individual anatomic pathology & clinical pathology provider in Kansas City, Kansas, licensed in Kansas (04-48149) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1275055311
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NamePOOJABEN DHORAJIYA
Location Address4000 CAMBRIDGE STKansas City, KS 66160-1147
Mailing Address4000 Cambridge StKansas City, KS 66160-8501
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 11, 2017
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1275055311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in KS · 04-48149
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4000 CAMBRIDGE ST, Kansas City, KS 66160

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

Poojaben Dhorajiya 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 ID2668718834
PECOS Enrollment IDI20230908003061
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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
615 services277 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
413 services88 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
233 services165 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
156 services95 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
144 services48 patients
Microscopic genetic analysis of tumor, using computer-assisted technology 88361
Microscopic genetic analysis of a tumor uses advanced computer technology to examine the genetic makeup of the tumor cells. This helps to understand the tumor better and tailor a treatment plan. It's a non-invasive procedure and provides valuable insights for your healthcare team.
132 services31 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Internal Medicine
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Internal Medicine
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Emergency Medicine
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Registered Nurse (Oncology)
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Emergency Medicine
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Pathology (Anatomic Pathology & Clinical Pathology)
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160

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 Poojaben Dhorajiya's NPI number?

The NPI number for Poojaben Dhorajiya is 1275055311. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Poojaben Dhorajiya located?

Poojaben Dhorajiya practices at 4000 Cambridge St, Kansas City, KS 66160. The listed phone number is (913) 588-7013.

What is Poojaben Dhorajiya's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Poojaben Dhorajiya enrolled in Medicare?

Yes. Poojaben Dhorajiya 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 Poojaben Dhorajiya accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Poojaben Dhorajiya 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 Poojaben Dhorajiya affiliated with any hospitals?

According to CMS data, Poojaben Dhorajiya is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Poojaben Dhorajiya was last updated on August 29, 2023. 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.