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VISHAL M. DODIA M.D.
NPI 1770699563
Internal Medicine in New York, NY

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST, BOX 420, NEW YORK, NY 10021(212) 746-4849 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Vishal M. Dodia M.d. NPPES

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

VISHAL M. DODIA M.D. (NPI 1770699563) is an individual internal medicine provider in New York, New York, licensed in New York (212343) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Temple University School Of Medicine (1996).

NPPES Registry Identity

NPI1770699563
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVISHAL M. DODIACredential: M.D.
Location Address525 E 68TH ST, BOX 420New York, NY 10021-4870
Mailing Address525 E 68th St, Box 420New York, NY 10021-4870 · (212) 746-4849
Phone(212) 746-4849
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1996
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1770699563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 212343
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.
525 E 68TH ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified831561NY · Medicare Provider Number
Medicaid02116241NY

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

Vishal M. Dodia 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 ID3870532039
PECOS Enrollment IDI20050427000511
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 6

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 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.
708 services224 patients
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.
92 services54 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.
70 services66 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services11 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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

ELEANOR BRADLEY CRNA
Registered Nurse
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-2846
LOUISE REBECCA MERRIMAN R.D.
Nutritionist
525 E 68TH ST, GREENBERG PAVILION RM 10-171
NEW YORK, NY 10021
New York County (212) 746-0838
DATTATRETYDU NORI M.D.
Radiology (Radiation Oncology)
525 E 68TH ST, N046
NEW YORK, NY 10021
New York County (212) 746-3141
MS. JANE HARRINGTON NP
Nurse Practitioner (Neonatal)
525 E 68TH ST, NYPH
NEW YORK, NY 10021
New York County (212) 746-0318
JESSICA RIVERA BROWN OTR
Occupational Therapist
525 E 68TH ST, NEW YORK PRESBYTERIAN HOSPITAL AT CORNELL
NEW YORK, NY 10021
New York County (212) 746-1623
DR. NATALIA RYJIKOV
Anesthesiology
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-2846
DR. MATTHEW C. GOMILLION
Anesthesiology
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 745-2846
STEVEN KAPLAN MD
Emergency Medicine
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-0780

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 Vishal Dodia's NPI number?

The NPI number for Vishal Dodia is 1770699563. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Vishal Dodia located?

Vishal Dodia practices at 525 E 68th St Box 420, New York, NY 10021. The listed phone number is (212) 746-4849.

What is Vishal Dodia's specialty?

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

Is Vishal Dodia enrolled in Medicare?

Yes. Vishal Dodia 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.

Is Vishal Dodia affiliated with any hospitals?

According to CMS data, Vishal Dodia is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Vishal Dodia was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.