DR. KAPIL DHAWAN M.D. NPI 1558385997

Internal Medicine (Critical Care Medicine) in Sacramento, CA

NPI 1558385997 Individual Male Years of Experience 22 Internal Medicine Critical Care Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About KAPIL DHAWAN

Kapil Dhawan is an internal medicine provider established in Sacramento, California and his medical specialization is internal medicine (critical care medicine) with more than 22 years of experience. The NPI number of Kapil Dhawan is 1558385997 and was assigned on July 2006. The practitioner's primary taxonomy code is 207RC0200X with license number A116493 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

An internist like Dr. Kapil Dhawan M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Kapil Dhawan is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kapil Dhawan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Sutter Medical Center, Sacramento and Sutter Amador Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, closing the referral loop: receipt of specialist report, documentation of current medications in the medical record, e-prescribing, health information exchange, immunization registry reporting, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, specialized registry reporting, specialized registry reporting for multiple registry engagement, use of decision support and standardized treatment protocols and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1558385997

Provider NameDR. KAPIL DHAWAN M.D.
Provider Location Address1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816
Provider Mailing Address1300 ETHAN WAY STE 600 SACRAMENTO, CA 95825
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-27-2006
Last Update Date10-19-2020


Primary Taxonomy

Taxonomy Code207RC0200X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCritical Care Medicine
License No.A116493
License StateCA
Taxonomy DescriptionAn 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.

Business Address

DR. KAPIL DHAWAN M.D.
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA
ZIP 95816
Phone: (916) 325-1040
Fax: (916) 669-4100

Get Directions


Mailing Address

DR. KAPIL DHAWAN M.D.
1300 ETHAN WAY STE 600
SACRAMENTO, CA
ZIP 95825
Phone: (916) 679-3590
Fax: (916) 482-3647



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3375671779
PECOS Enrollment IDI20110707000106
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 55Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • 29Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • 20Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)
  • 11Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 51% 47
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
Documentation of Current Medications in the Medical Record 100% 483
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 97% 335
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 61% 114
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 100% 190
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 98% 336
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 81% 115
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 95% 330
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98% 107
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 107
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 100% 336
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 97% 336
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
View, Download, or Transmit (VDT) 52% 336
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kapil Dhawan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SUTTER MEDICAL CENTER, SACRAMENTO2825 CAPITOL AVENUE
SACRAMENTO, CA 95816
(916) 733-8999Acute Care Hospitals50108
SUTTER AMADOR HOSPITAL200 MISSION BLVD
JACKSON, CA 95642
(209) 223-7500Acute Care Hospitals50014

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineA116493CANo

Taxonomy Description: 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.

2207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseA116493CANo

Taxonomy Description: an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

3207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineA116493CANo

Taxonomy Description: an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912949132 RICHARD THOMAS KIM M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1730124520 DANIEL PHILIP IKEDA M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1689600553 MUHAMMAD AFZAL M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1063458495 RICHARD DAVID DEFELICE M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1831127570DR. IMRAN AURANGZEB M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1811927429 GHOLAMHOSSAIN HAYAT M.D.
Individual
Internal Medicine (Pulmonary Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1861418543 ALAN RUSSELL YEE M.D.
Individual
Internal Medicine (Pulmonary Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1255359378PULMONARY MEDICINE ASSOCIATES SLEEP LAB INC.
Organization
Clinic/Center (Sleep Disorder Diagnostic)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1093912958DR. SAMAN HAYATDAVOUDI M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1003001645 VINOD TRIVEDI MD
Individual
Internal Medicine (Infectious Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1750561452DR. BRADLEY WAYNE SCHROEDER MD, PHD
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1356506372DR. BRETT RYAN LAURENCE MD
Individual
Internal Medicine (Infectious Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1063731966DR. NATHANIEL GORDON MD
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1831456086DR. MANDEEP KAUR GREWAL M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1366761496 NATHANIEL RICHARD DEFELICE M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1437781416 ANDREA M DEFELICE NP
Individual
Nurse Practitioner (Acute Care)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1417184078DR. RAVNEET RIAR M.D.
Individual
Internal Medicine (Pulmonary Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1366061285 DEWAYNE LEE CECIL
Individual
Nurse Practitioner (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1326420043 HIMA BINDU VENIGANDLA D.O.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1851788665 SEAN M GUNTHER MAHER MD
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.