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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DARSHANA DADHANIA M.D.
NPI 1861454662
Internal Medicine - Nephrology in New York, NY

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
505 E 70TH ST, 2ND FLOOR, NEW YORK, NY 10021(212) 249-4061(212) 249-4659 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Darshana Dadhania M.d. NPPES

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

DR. DARSHANA DADHANIA M.D. (NPI 1861454662) is an individual nephrology provider in New York, New York, licensed in New York (212486) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Rutgers New Jersey Medical School (1993).

NPPES Registry Identity

NPI1861454662
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. DARSHANA DADHANIACredential: M.D.
Location Address505 E 70TH ST, 2ND FLOORNew York, NY 10021-4872
Mailing Address504 E 74th St, 5th FloorNew York, NY 10021-3486 · (212) 249-4061 · Fax (212) 249-4659
Phone(212) 249-4061
Fax(212) 249-4659
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1993
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1861454662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 212486
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
505 E 70TH ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 1

Medicaid02396032NY

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. Darshana Dadhania 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 ID941325385
PECOS Enrollment IDI20100909000040
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 8

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
316 services50 patients
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.
127 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
97 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
77 services69 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services42 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

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

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
4 suppliers38 claims12,420 services$1.22 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
17 suppliers245 claims30,825 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers56 claims6,170 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers92 claims8,520 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers144 claims13,080 services$0.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
21 suppliers239 claims239 services$18.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AJAYRAM VIVEK ULLAL M.D.
Student in an Organized Health Care Education/Training Program
505 E 70TH ST, 505 E 70TH ST
NEW YORK, NY 10021
New York County (212) 746-3587
LAURA NAVARRO
Student in an Organized Health Care Education/Training Program
505 E 70TH ST
NEW YORK, NY 10021
New York County (212) 746-2900
MISS RACHEL BETH KAPLAN RN, CPNP
Nurse Practitioner (Pediatrics)
505 E 70TH ST, BOX 279
NEW YORK, NY 10021
New York County (646) 962-4303
MR. ALEXANDER PAUL AJETO
Internal Medicine
505 E 70TH ST
NEW YORK, NY 10021
New York County (212) 746-4007
ZACHARY FALK MD
Student in an Organized Health Care Education/Training Program
505 E 70TH ST
NEW YORK, NY 10021
New York County (212) 746-2900
DR. JONES TREVOR NAUSEEF MD PHD
Internal Medicine (Medical Oncology)
505 E 70TH ST
NEW YORK, NY 10021
New York County (212) 746-2942
KUMAR NAIR MD
Internal Medicine
505 E 70TH ST
NEW YORK, NY 10021
New York County (212) 746-2942
CLARISSA ANDRE
Internal Medicine
505 E 70TH ST
NEW YORK, NY 10021
New York County (212) 746-9663

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 Darshana Dadhania's NPI number?

The NPI number for Darshana Dadhania is 1861454662. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Darshana Dadhania located?

Darshana Dadhania practices at 505 E 70th St 2nd Floor, New York, NY 10021. The listed phone number is (212) 249-4061.

What is Darshana Dadhania's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Darshana Dadhania enrolled in Medicare?

Yes. Darshana Dadhania 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 Darshana Dadhania affiliated with any hospitals?

According to CMS data, Darshana Dadhania is affiliated with New York-Presbyterian/Queens and New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Darshana Dadhania was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.