BHAIRAVI KHAROD DHOLAKIA MD
NPI 1669585022
Ophthalmology in Cumming, GA

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
90.64/100
CMS Quality Rating
1230 BALD RIDGE MARINA RD, CUMMING, GA 30041(770) 292-1999 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bhairavi Kharod Dholakia Md NPPES

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

BHAIRAVI KHAROD DHOLAKIA MD (NPI 1669585022) is an individual ophthalmology provider in Cumming, Georgia, licensed in Georgia (66279) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2002).

NPPES Registry Identity

NPI1669585022
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameBHAIRAVI KHAROD DHOLAKIACredential: MD
Location Address1230 BALD RIDGE MARINA RDCumming, GA 30041-7536
Mailing Address1485 Jesse Jewell Pkwy Ne, Ste 100Gainesville, GA 30501-3801 · (770) 534-1711 · Fax (770) 534-9158
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2002
Enumeration DateAugust 17, 2006
Last NPPES UpdateOctober 7, 2016
NPI 1669585022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in GA · 66279
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1230 BALD RIDGE MARINA RD, Cumming, GA 30041

Other Identifiers 1

Medicare PIN202I183995GA

Accepted 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

Bhairavi Kharod Dholakia 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 ID9436157708
PECOS Enrollment IDI20110929000473
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 18

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
555 services334 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
369 services364 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
311 services309 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
159 services154 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
111 services102 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
102 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

90.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.82

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.

Specialist
1230 BALD RIDGE MARINA RD
CUMMING, GA 30041
Clinic/Center (Ambulatory Surgical)
1230 BALD RIDGE MARINA RD, SUITE 8
CUMMING, GA 30041
Ophthalmology
1230 BALD RIDGE MARINA RD
CUMMING, GA 30041

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 Bhairavi Dholakia's NPI number?

The NPI number for Bhairavi Dholakia is 1669585022. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Bhairavi Dholakia located?

Bhairavi Dholakia practices at 1230 Bald Ridge Marina Rd, Cumming, GA 30041. The listed phone number is (770) 292-1999.

What is Bhairavi Dholakia's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Bhairavi Dholakia enrolled in Medicare?

Yes. Bhairavi Dholakia 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 Bhairavi Dholakia accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Bhairavi Dholakia 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.

When was this NPI record last updated?

The NPPES record for Bhairavi Dholakia was last updated on October 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.