AJAY SUSHEEL DHARIA MD
NPI 1548595127
Internal Medicine - Critical Care Medicine in Burlingame, CA

Active since October 15, 2009PECOS EnrolledAccepts Medicare Assignment
1750 EL CAMINO REAL STE 307, BURLINGAME, CA 94010(858) 243-8481 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2022, Sep 23, 2021 (2 updates tracked since 2021).

About Ajay Susheel Dharia Md NPPES

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

AJAY SUSHEEL DHARIA MD (NPI 1548595127) is an individual critical care medicine provider in Burlingame, California, licensed in California (A114612) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2009).

NPPES Registry Identity

NPI1548595127
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameAJAY SUSHEEL DHARIACredential: MD
Location Address1750 EL CAMINO REAL STE 307Burlingame, CA 94010-3216
Mailing Address1750 El Camino Real Ste 307Burlingame, CA 94010-3216 · (858) 243-8481
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2009
Enumeration DateOctober 15, 2009
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1548595127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A114612
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 · Pulmonary DiseaseTaxonomy 207RP1001X · License A114612 (CA)
1750 EL CAMINO REAL STE 307, Burlingame, CA 94010

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

Ajay Susheel Dharia 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 ID9830481662
PECOS Enrollment IDI20160714001055
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

4

Medicare enrollment records show Ajay Dharia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
1750 EL CAMINO REAL STE 307
Burlingame, CA 94010
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
Community/Behavioral Health
1950 ALAMEDA DE LAS PULGAS
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Mateo
  • Also billed through NPI 1831268580 (California)
  • 597 clinicians in this Medicare group
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 clinicians in this Medicare group

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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Pulmonary Disease)
1750 EL CAMINO REAL STE 307
BURLINGAME, CA 94010
Internal Medicine (Pulmonary Disease)
1750 EL CAMINO REAL STE 307
BURLINGAME, CA 94010
Internal Medicine (Pulmonary Disease)
1750 EL CAMINO REAL STE 307
BURLINGAME, CA 94010
Nurse Practitioner (Family)
1750 EL CAMINO REAL STE 307
BURLINGAME, CA 94010
Internal Medicine (Pulmonary Disease)
1750 EL CAMINO REAL STE 307
BURLINGAME, CA 94010
Internal Medicine (Pulmonary Disease)
1750 EL CAMINO REAL STE 307
BURLINGAME, CA 94010
Internal Medicine (Pulmonary Disease)
1750 EL CAMINO REAL STE 307
BURLINGAME, CA 94010
Internal Medicine (Pulmonary Disease)
1750 EL CAMINO REAL STE 307
BURLINGAME, CA 94010

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 Ajay Dharia's NPI number?

The NPI number for Ajay Dharia is 1548595127. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Ajay Dharia located?

Ajay Dharia practices at 1750 El Camino Real Ste 307, Burlingame, CA 94010. The listed phone number is (858) 243-8481.

What is Ajay Dharia's specialty?

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

Is Ajay Dharia enrolled in Medicare?

Yes. Ajay Dharia 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 Ajay Dharia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Dharia reassigns Medicare benefits to 4 organizations: Pulmonary Associates Burlingame Medical Corporation (Burlingame, CA), San Mateo County (San Mateo, CA), Permanente Medical Group Inc (Redwood City, CA) and University Of California Sfgh Medical Group (San Francisco, 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 Ajay Dharia'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 Ajay Dharia was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.