PRIYAL PRAGNESH DHOLAKIYA MD
NPI 1912165259
Obstetrics & Gynecology - Gynecologic Oncology in Laguna Hills, CA
About Priyal Pragnesh Dholakiya Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIYAL PRAGNESH DHOLAKIYA MD (NPI 1912165259) is an individual gynecologic oncology provider in Laguna Hills, California, licensed in California (A108860) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
Priyal Pragnesh Dholakiya 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.
Medicare Billing Reassignments
2Medicare enrollment records show Priyal Dholakiya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
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 Priyal Dholakiya's NPI number?
The NPI number for Priyal Dholakiya is 1912165259. It was assigned to this individual provider in the NPPES registry on May 22, 2008.
Where is Priyal Dholakiya located?
Priyal Dholakiya practices at 24401 Health Center Drive, Suite 200, Laguna Hills, CA 92653. The listed phone number is (657) 241-8788.
What is Priyal Dholakiya's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.
Is Priyal Dholakiya enrolled in Medicare?
Yes. Priyal Dholakiya 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 Priyal Dholakiya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priyal Dholakiya reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). 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 Priyal Dholakiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Priyal Dholakiya was last updated on August 19, 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.
# Priyal Pragnesh Dholakiya, MD · NPI 1912165259
Gynecologic Oncology physician in Laguna Hills, California. Individual provider, active in the CMS NPPES registry since May 22, 2008.
## Identity
- **NPI:** 1912165259 (Entity type: Individual)
- **Enumerated:** May 22, 2008
- **Primary specialty:** Obstetrics & Gynecology - Gynecologic Oncology · taxonomy 207VX0201X
- **State license:** A108860 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 24401 HEALTH CENTER DRIVE, SUITE 200, Laguna Hills, CA 92653
- **Phone:** (657) 241-8788 · **Fax:** (714) 665-4690
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912165259) · Data from the CMS NPPES public registry.