RUPALKUNVERBA GOHIL M.D.
NPI 1750541827
Hospitalist in Kailua, HI

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
640 ULUKAHIKI ST, KAILUA, HI 96734(808) 263-5454 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rupalkunverba Gohil M.d. NPPES

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

RUPALKUNVERBA GOHIL M.D. (NPI 1750541827) is an individual hospitalist provider in Kailua, Hawaii, licensed in Hawaii (MD15354) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1750541827
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameRUPALKUNVERBA GOHILCredential: M.D.
Location Address640 ULUKAHIKI STKailua, HI 96734-4454
Mailing Address1177 Queen St, #2003Honolulu, HI 96814-4138 · (773) 301-3083
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 12, 2008
Last NPPES UpdateOctober 19, 2016
✔ NPI 1750541827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in HI · MD15354
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036122922 (IL)
Also ListedInternal MedicineTaxonomy 207R00000X · License 15354 (HI), 036122922 (IL)
640 ULUKAHIKI ST, Kailua, HI 96734

Other Identifiers 2

Medicare PIN200918009IL
Medicaid036122922-2IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rupalkunverba Gohil M.d. 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 ID6709931686
PECOS Enrollment IDI20100106000520
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Rupalkunverba Gohil reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
2230 LILIHA ST
Honolulu, HI 96817
  • Reassigned Medicare billing, Hawaii enrollment
  • 18 clinicians in this Medicare group
Internal Medicine
98-1079 MOANALUA RD
Aiea, HI 96701
  • Reassigned Medicare billing, Hawaii enrollment
  • 26 clinicians in this Medicare group
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, Hawaii enrollment
Internal Medicine
4400 NE HALSEY ST
Portland, OR 97213
  • Reassigned Medicare billing, Hawaii enrollment
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Hawaii enrollment
General Practice
900 PACIFIC AVE, STE 501
Everett, WA 98201
  • Reassigned Medicare billing, Hawaii enrollment
Critical Care Medicine
3200 PROVIDENCE DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Hawaii enrollment
Family Medicine
380 CHASE AVENUE, PMG SE WA
Walla Walla, WA 99362
  • Reassigned Medicare billing, Hawaii enrollment
Pulmonary Disease
101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR
Spokane, WA 99204
  • Reassigned Medicare billing, Hawaii enrollment
Family Medicine
500 W BROADWAY ST
Missoula, MT 59802
  • Reassigned Medicare billing, Hawaii enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96734 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
87%55 patients4/55-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 20

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

Nurse Anesthetist, Certified Registered
640 ULUKAHIKI ST
KAILUA, HI 96734
Emergency Medicine
640 ULUKAHIKI ST
KAILUA, HI 96734
Nurse Anesthetist, Certified Registered
640 ULUKAHIKI ST
KAILUA, HI 96734
Emergency Medicine
640 ULUKAHIKI ST, AH CASTLE/EMERGENCY DEPT
KAILUA, HI 96734
Obstetrics & Gynecology
640 ULUKAHIKI ST
KAILUA, HI 96734
Emergency Medicine
640 ULUKAHIKI ST
KAILUA, HI 96734
General Acute Care Hospital
640 ULUKAHIKI ST, INPATIENT PHARMACY
KAILUA, HI 96734
Emergency Medicine
640 ULUKAHIKI ST
KAILUA, HI 96734

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 Rupalkunverba Gohil's NPI number?

The NPI number for Rupalkunverba Gohil is 1750541827. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Rupalkunverba Gohil located?

Rupalkunverba Gohil practices at 640 Ulukahiki St, Kailua, HI 96734. The listed phone number is (808) 263-5454.

What is Rupalkunverba Gohil's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rupalkunverba Gohil enrolled in Medicare?

Yes. Rupalkunverba Gohil 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.

Which organizations bill Medicare for Rupalkunverba Gohil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rupalkunverba Gohil reassigns Medicare benefits to 10 organizations: Inpatient Medicine Services LLC (Honolulu, HI), Hawaii Hospital Physicians Inc (Aiea, HI), Providence Medical Institute (Torrance, CA), Providence Health & Services Oregon (Portland, OR), Providence Health & Services Washington (Olympia, WA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rupalkunverba Gohil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rupalkunverba Gohil accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Premera Blue Cross Blue Shield of Alaska list Rupalkunverba Gohil 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 Rupalkunverba Gohil was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.