DR. HET DHARIA M.B.,B.S., MD
NPI 1689020307
Internal Medicine in Joplin, MO

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment
76.92/100
CMS Quality Rating
100 MERCY WAY, JOPLIN, MO 64804(417) 781-2727 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2024, May 5, 2022, Jul 12, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Het Dharia M.b.,b.s., Md NPPES

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

DR. HET DHARIA M.B.,B.S., MD (NPI 1689020307) is an individual internal medicine provider in Joplin, Missouri, licensed in Missouri (2022003633) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1689020307
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HET DHARIACredential: M.B.,B.S., MD
Location Address100 MERCY WAYJoplin, MO 64804-4524
Mailing Address5301 Faraon St Ste 120Saint Joseph, MO 64506-3512 · (816) 271-1066 · Fax (816) 271-6786
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMay 12, 2016
Last NPPES UpdateMay 17, 20244 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
NPI 1689020307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2022003633
Definition
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.
100 MERCY WAY, Joplin, MO 64804

Other Identifiers 1

Medicaid200072709MO

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

Dr. Het Dharia M.b.,b.s., 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 ID3971840547
PECOS Enrollment IDI20220613001695
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 3

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.

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.
185 services175 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260001
Location100 Mercy WayJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261338
Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

76.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.53
Promoting Interoperability100
Improvement Activities40
Cost56.53

Other Providers at the Same Location NPPES 20

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

Internal Medicine
100 MERCY WAY
JOPLIN, MO 64804
Nurse Practitioner (Family)
100 MERCY WAY
JOPLIN, MO 64804
Dietitian, Registered
100 MERCY WAY
JOPLIN, MO 64804
Registered Nurse
100 MERCY WAY
JOPLIN, MO 64804
Emergency Medicine
100 MERCY WAY
JOPLIN, MO 64804
Hospitalist
100 MERCY WAY
JOPLIN, MO 64804
Physician Assistant (Surgical)
100 MERCY WAY
JOPLIN, MO 64804
Registered Nurse
100 MERCY WAY
JOPLIN, MO 64804

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 Het Dharia's NPI number?

The NPI number for Het Dharia is 1689020307. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Het Dharia located?

Het Dharia practices at 100 Mercy Way, Joplin, MO 64804. The listed phone number is (417) 781-2727.

What is Het Dharia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Het Dharia enrolled in Medicare?

Yes. Het 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.

What insurance does Het Dharia accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Het Dharia 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 Het Dharia affiliated with any hospitals?

According to CMS data, Het Dharia is affiliated with Mercy Hospital Joplin, Freeman Health System - Freeman West and Mercy Hospital Carthage.

When was this NPI record last updated?

The NPPES record for Het Dharia was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.