DR. SHRUTI GOHIL M.D., M.P.H. NPI 1851375398

Internal Medicine in Orange, CA

NPI 1851375398 Individual Female Internal Medicine PECOS Enrolled MIPS Quality Score 89.4

About SHRUTI GOHIL

Shruti Gohil is an internal medicine provider established in Orange, California and her medical specialization is internal medicine. The NPI number of Shruti Gohil is 1851375398 and was assigned on November 2005. The practitioner's primary taxonomy code is 207R00000X with license number A89242 (CA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

An internist like Dr. Shruti Gohil M.d., M.p.h. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Shruti Gohil is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

Shruti Gohil is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.4, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

NPI

1851375398

Provider NameDR. SHRUTI GOHIL M.D., M.P.H.
Provider Location Address101 THE CITY DR S UNIVERSITY OF CALIFORNIA IRVINE ORANGE, CA 92868
Provider Mailing Address101 THE CITY DR S UNIVERSITY OF CALIFORNIA, IRVINE ORANGE, CA 92868
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-29-2005
Last Update Date04-03-2012


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.A89242
License StateCA
Taxonomy DescriptionA 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.

Business Address

DR. SHRUTI GOHIL M.D., M.P.H.
101 THE CITY DR S
UNIVERSITY OF CALIFORNIA IRVINE
ORANGE, CA
ZIP 92868
Phone: (714) 456-7016

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Mailing Address

DR. SHRUTI GOHIL M.D., M.P.H.
101 THE CITY DR S
UNIVERSITY OF CALIFORNIA, IRVINE
ORANGE, CA
ZIP 92868
Phone: (714) 456-7016



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingNo
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 50.4
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 89.4
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548264013 CHARLES DAVID ROSEN M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)101 THE CITY DR S
ORANGE, CA 92868
(714) 534-0547
1346235942DR. BRADLEY ROBERT WILLIAMS PHARM.D.
Individual
Pharmacist (Geriatric)101 THE CITY DR S PAVILION IV
ORANGE, CA 92868
(714) 456-2800
1043208994 GEORGE V LAWRY II MD
Individual
Internal Medicine (Rheumatology)101 THE CITY DR S
ORANGE, CA 92868
(714) 456-7662
1205825908MS. ROXANNE MARIE RUZICKA M.S.
Individual
Genetic Counselor, MS101 THE CITY DR S DEPARTMENT OF PEDIATRICS
ORANGE, CA 92868
(714) 456-2340
1245218437 CHRISTINE L COY MS, RD
Individual
Dietitian, Registered101 THE CITY DR S ZOT 4482
ORANGE, CA 92868
(714) 456-8808
1467415919 GAMAL M. GHONIEM M.D.
Individual
Urology101 THE CITY DR S
ORANGE, CA 92868
(714) 456-5378
1215993985 AMY D KOSANKE CRNA
Individual
Nurse Anesthetist, Certified Registered101 THE CITY DR S
ORANGE, CA 92868
(714) 456-5261
1679521850REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization
Family Medicine101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1851349963REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization
Surgery101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1790734648DR. DEEPAK KUMAR RAJPOOT MD
Individual
Pediatrics (Pediatric Nephrology)101 THE CITY DR S BLDG. 56, SUITE 600
ORANGE, CA 92868
(714) 456-6815
1750331179 HAMID REZA DJALILIAN M.D.
Individual
Otolaryngology (Otology & Neurotology)101 THE CITY DR S BLDG 56, SUITE 500 RTE 81
ORANGE, CA 92868
(714) 456-5753
1871543785DR. ABRAHAM ROSENBAUM MD
Individual
Anesthesiology101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1871545038 ROMILLA A BATRA MD
Individual
Internal Medicine101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1720030760 IRA T LOTT MD
Individual
Pediatrics (Neurodevelopmental Disabilities)101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1235182205 MALCOLM B DICK PHD
Individual
Psychiatry & Neurology (Neurology)101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1447206644 SANJAY REDDY MD
Individual
Internal Medicine101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1811943129 BELA STEPHEN DENES SR. M.D.
Individual
Urology101 THE CITY DR S
ORANGE, CA 92868
(714) 456-6054
1912954405 STANLEY M ROSEN MD
Individual
Internal Medicine (Nephrology)101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1922049527 THANHTAM NGUYEN MD
Individual
Pediatrics101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1306887757 NATHAN KUDRICK MD
Individual
Anesthesiology101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.