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PRIYAL PRAGNESH DHOLAKIYA MD
NPI 1912165259
Obstetrics & Gynecology - Gynecologic Oncology in Laguna Hills, CA

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
24401 HEALTH CENTER DRIVE, SUITE 200, LAGUNA HILLS, CA 92653(657) 241-8788(714) 665-4690 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2024, Feb 9, 2023, Feb 1, 2023 and 1 more (4 updates tracked since 2019).

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

NPI1912165259
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NamePRIYAL PRAGNESH DHOLAKIYACredential: MD
Location Address24401 HEALTH CENTER DRIVE, SUITE 200Laguna Hills, CA 92653
Mailing Address24401 Health Center Drive, Suite 200Laguna Hills, CA 92653 · (657) 241-8788 · Fax (714) 665-4690
Phone(657) 241-8788
Fax(714) 665-4690
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 22, 2008
Last NPPES UpdateAugust 19, 20244 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1912165259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in CA · A108860
Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A108860 (CA)
24401 HEALTH CENTER DRIVE, SUITE 200, Laguna Hills, CA 92653
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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

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.

PECOS PAC ID5890944607
PECOS Enrollment IDI20150827001283
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 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.

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.
18 services14 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.
16 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

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.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

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.

NATALIE RENEE TERRERI PA-C
Physician Assistant
24401 HEALTH CENTER DRIVE, SUITE 200
LAGUNA HILLS, CA 92653
Orange County (657) 241-8788
KRISTEN MARIE LOY BYNON
Physician Assistant
24401 HEALTH CENTER DRIVE, SUITE 200
LAGUNA HILLS, CA 92653
Orange County (657) 241-9660
AMY KALDOR BREMNER MD
Surgery
24401 HEALTH CENTER DRIVE, SUITE 200
LAGUNA HILLS, CA 92653
Orange County (657) 241-9660

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.

When was this NPI record last updated?

The NPPES record for Priyal Dholakiya was last updated on August 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.