Karishma Tolani, MD
NPI 1578069266 · Family Medicine Physician · Norfolk, VA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karishma Tolani, MD is a Family Medicine Physician provider in Norfolk, VA (NPI 1578069266).
Provider details
- NPI number
- 1578069266
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101267472 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
861 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 446 | $78 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 179 | $118 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 146 | $115 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 40 | $165 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 31 | $128 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Potassium Chloride | 16 | — |
| Atorvastatin Calcium | 14 | 14 |
| Losartan Potassium | 14 | — |
| Baclofen | 13 | — |
| Lisinopril | 13 | — |
| Sertraline Hcl | 13 | — |
| Carvedilol | 12 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$132 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 611 Denbigh BlvdNewport News, VA 23608-4415Phone: (757) 283-8300
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Frequently asked questions
- What is Karishma Tolani's NPI number?
- Karishma Tolani's National Provider Identifier (NPI) is 1578069266, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karishma Tolani's specialty?
- Karishma Tolani is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Karishma Tolani located?
- Karishma Tolani's practice location on file with NPPES is 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904.
- What is Karishma Tolani's phone number?
- The practice phone number listed in the NPPES registry for Karishma Tolani is (757) 388-3198.
- Does Karishma Tolani accept Medicare?
- Karishma Tolani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karishma Tolani's NPI active?
- Yes — Karishma Tolani's NPI (1578069266) is active in the NPPES registry as of the last update on 2021-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.