AJAY KUMAR JOSHI M.D., MRCP, FACC
NPI 1619185584
Internal Medicine - Interventional Cardiology in El Dorado Hills, CA

Active since May 21, 2007PECOS Enrolled
80.85/100
CMS Quality Rating
4921 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762(916) 597-2687(916) 932-4442 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ajay Kumar Joshi M.d., Mrcp, Facc NPPES

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

AJAY KUMAR JOSHI M.D., MRCP, FACC (NPI 1619185584) is an individual interventional cardiology provider in El Dorado Hills, California, licensed in California (A100423) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1619185584
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameAJAY KUMAR JOSHICredential: M.D., MRCP, FACC
Location Address4921 GOLDEN FOOTHILL PKWYEl Dorado Hills, CA 95762-9632
Mailing Address4921 Golden Foothill PkwyEl Dorado Hills, CA 95762-9632 · (916) 597-2687 · Fax (916) 932-4442
Fax(916) 932-4442
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
NPI 1619185584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in CA · A100423 Licensed in PA · 428900
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 428900 (PA), A100423 (CA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 428900 (PA), A100423 (CA)
4921 GOLDEN FOOTHILL PKWY, El Dorado Hills, CA 95762

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ajay Kumar Joshi M.d., Mrcp, Facc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355437161
PECOS Enrollment IDI20071009000887
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 13

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,136 services619 patients
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.
669 services455 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
392 services381 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
251 services173 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
190 services190 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95762 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

80.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.03
Promoting Interoperability92
Improvement Activities40
Cost61.81

Reported Quality Measures

Advance Care Plan
1%960 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
62%544 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
91%148 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,457 patients4/55-star benchmark: 100%
e-Prescribing
99%620 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%1,558 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%1,855 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 689 patients
0%689 patients
Provide Patients Electronic Access to Their Health Information
73%630 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%679 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 974 patients
Patients totalRate: 0% · 974 patients
0%974 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 3

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

Internal Medicine (Cardiovascular Disease)
4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA 95762
Physician Assistant (Medical)
4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA 95762
Physician Assistant
4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA 95762

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 Joshi's NPI number?

The NPI number for Ajay Joshi is 1619185584. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Ajay Joshi located?

Ajay Joshi practices at 4921 Golden Foothill Pkwy, El Dorado Hills, CA 95762. The listed phone number is (916) 597-2687.

What is Ajay Joshi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Ajay Joshi enrolled in Medicare?

Yes. Ajay Joshi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ajay Joshi was last updated on August 17, 2022. 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.