1. Home
  2. Directory
  3. Texas
  4. Arlington
  5. Internal Medicine
  6. NPI Profile

GOPAL H DOSHI MD
NPI 1619978772
Internal Medicine - Nephrology in Arlington, TX

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
24.79/100
CMS Quality Rating
3295 S COOPER ST, SUITE 131, ARLINGTON, TX 76015(817) 557-0099(817) 417-7266 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gopal H Doshi Md NPPES

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

GOPAL H DOSHI MD (NPI 1619978772) is an individual nephrology provider in Arlington, Texas, licensed in Texas (L0138) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1619978772
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGOPAL H DOSHICredential: MD
Location Address3295 S COOPER ST, SUITE 131Arlington, TX 76015-2363
Mailing Address3295 S Cooper St, Ste 119Arlington, TX 76015-2359 · (817) 557-0099 · Fax (817) 417-0973
Phone(817) 557-0099
Fax(817) 417-7266
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 10, 2005
Last NPPES UpdateJune 28, 2017
✔ NPI 1619978772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · L0138
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedSpecialistTaxonomy 174400000X · License L0138 (TX)
Also ListedInternal MedicineTaxonomy 207R00000X · License L0138 (TX)
3295 S COOPER ST, Arlington, TX 76015
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified00966NTX
Medicare UPINH25309TX
Medicaid038342401TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Gopal H Doshi 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 ID2264342906
PECOS Enrollment IDI20130118000388
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
286 services83 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.
196 services80 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
106 services45 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
101 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450064
Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County
Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76015 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

24.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost82.65

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%86 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
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.
100%907 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%558 patients4/55-star benchmark: 100%
Health Information Exchange
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…
0%992 patients1/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
20%366 patients1/55-star benchmark: 97%
Provide Patient Access
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…
47%366 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 283 patients
0%283 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,080 services$0.33 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,800 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$0.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier26 claims26 services$12.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

B RAI MEHTA, MD PA
Specialist
3295 S COOPER ST, 137
ARLINGTON, TX 76015
Tarrant County (817) 417-0973
TUAN D NGUYEN DO
Family Medicine
3295 S COOPER ST, #101
ARLINGTON, TX 76015
Tarrant County (817) 557-9616
DR. HILLARY HIEN THI TRAN M.D.
Internal Medicine (Nephrology)
3295 S COOPER ST, SUITE 131
ARLINGTON, TX 76015
Tarrant County (817) 557-0099
DR. MUHAMMAD QASIM CHEEMA M.D.
Internal Medicine (Nephrology)
3295 S COOPER ST, SUITE 119
ARLINGTON, TX 76015
Tarrant County (817) 557-0099
MRS. MEREDITH L LARSEN RD/LD
Dietitian, Registered (Nutrition, Renal)
3295 S COOPER ST, SUITE 131
ARLINGTON, TX 76015
Tarrant County (817) 557-0099
BHASKER RAI MEHTA MD
Internal Medicine (Nephrology)
3295 S COOPER ST, SUITE 131
ARLINGTON, TX 76015
Tarrant County (817) 557-0099

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 Gopal Doshi's NPI number?

The NPI number for Gopal Doshi is 1619978772. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Gopal Doshi located?

Gopal Doshi practices at 3295 S Cooper St Suite 131, Arlington, TX 76015. The listed phone number is (817) 557-0099.

What is Gopal Doshi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gopal Doshi enrolled in Medicare?

Yes. Gopal Doshi 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.

What insurance does Gopal Doshi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Gopal Doshi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gopal Doshi affiliated with any hospitals?

According to CMS data, Gopal Doshi is affiliated with Texas Health Arlington Memorial Hospital, Medical City Arlington and Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Gopal Doshi was last updated on June 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.