DR. ASHISH KISHORE TOLIA D.O.
NPI 1538155437
Internal Medicine in Landover Hills, MD

Q: What is Ashish Tolia's NPI number?

The NPI number for Ashish Tolia is 1538155437. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Ashish Tolia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashish Tolia was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment

6201 ANNAPOLIS RD, LANDOVER HILLS, MD 20784(301) 276-3377 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ashish Kishore Tolia D.o. NPPES

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

DR. ASHISH KISHORE TOLIA D.O. (NPI 1538155437) is an individual internal medicine provider in Landover Hills, Maryland, licensed in Maryland (H0064588) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and maintains a secondary practice location in Silver Spring.

NPPES Registry Identity

NPI1538155437

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ASHISH KISHORE TOLIACredential: D.O.

Location Address6201 ANNAPOLIS RDLandover Hills, MD 20784-1307

Mailing Address1500 Forest Glen Rd, Po Box 83819, Gaithersburg Md 20883 For CorrespondenceSilver Spring, MD 20910-1483 · (301) 754-7991 · Fax (301) 754-7990

Phone(301) 276-3377

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateSeptember 26, 2005

Last NPPES UpdateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1538155437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · H0064588

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6201 ANNAPOLIS RD, Landover Hills, MD 20784

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Secondary Practice Location 1

Location 11500 Forest Glen RdSilver Spring, MD 20910-1483 · Phone (301) 754-7991 · Fax (301) 754-7990

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

Dr. Ashish Kishore Tolia D.o. 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 ID9830162882

PECOS Enrollment IDI20060727000175, I20150410000275

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 4

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.

390 services370 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.

15 services15 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

11 services11 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210003

Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County

Emergency services Birthing friendly

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210039

Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County

Emergency services Birthing friendly

Luminis Health Doctors Community Medical Ctr, Inc

Acute Care Hospitals · Lanham, MD

2/5 CMS rating

OwnershipProprietary

CMS Certification Number210051

Location8118 Good Luck RoadLanham, MD 20706 · Prince Georges County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20784 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%361 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.

Other Providers at the Same Location NPPES 14

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

JACQUELINE RAY FISHER PA-C

Physician Assistant