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PAULA R DHANDA
NPI 1316972425
Obstetrics & Gynecology - Gynecology in Kelseyville, CA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
78.28/100
CMS Quality Rating
5685 MAIN STREET, KELSEYVILLE, CA 95451(707) 263-8733(707) 262-0313 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paula R Dhanda NPPES

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

PAULA R DHANDA (NPI 1316972425) is an individual gynecology provider in Kelseyville, California, licensed in California (G62526) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1984).

NPPES Registry Identity

NPI1316972425
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NamePAULA R DHANDA
Location Address5685 MAIN STREETKelseyville, CA 95451
Mailing Address5685 Main StKelseyville, CA 95451-8945 · (707) 263-8733 · Fax (707) 279-8731
Phone(707) 263-8733
Fax(707) 262-0313
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1984
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 13, 2015
✔ NPI 1316972425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · G62526
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
5685 MAIN STREET, Kelseyville, CA 95451
Open in Google Maps ↗

Other Identifiers 2

MedicaidGR0061470CA
Medicare UPINE04677

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

Paula R Dhanda 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 ID4284633314
PECOS Enrollment IDI20061218000486
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 Paula Dhanda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialty Care And Surgery Center
Same address
Gynecology
5685 MAIN ST
Kelseyville, CA 95451
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1073648630 (707) 279-8733
Adventist Health Clearlake Hospital Inc.
12 mi
Critical Access
15630 18TH AVE
Clearlake, CA 95422
  • Reassigned Medicare billing, California enrollment
  • 182 clinicians in this Medicare group
NPI 1124018031 (707) 994-6486

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 7

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.
372 services275 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
245 services238 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
241 services241 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
105 services105 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
48 services48 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.
33 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95451 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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.

78.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.31
Promoting Interoperability93
Improvement Activities40
Cost45.47

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 Paula Dhanda's NPI number?

The NPI number for Paula Dhanda is 1316972425. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Paula Dhanda located?

Paula Dhanda practices at 5685 Main Street, Kelseyville, CA 95451. The listed phone number is (707) 263-8733.

What is Paula Dhanda's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Paula Dhanda enrolled in Medicare?

Yes. Paula Dhanda 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 Paula Dhanda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Dhanda reassigns Medicare benefits to 2 organizations: Specialty Care And Surgery Center (Kelseyville, CA) and Adventist Health Clearlake Hospital Inc. (Clearlake, 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 Paula Dhanda'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 Paula Dhanda was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.