Kevin Dholaria, M.D.
NPI 1629343736 · Gastroenterology Physician · Downey, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Dholaria, M.D. is a Gastroenterology Physician provider in Downey, CA (NPI 1629343736).
Provider details
- NPI number
- 1629343736
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A161629 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
433 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 108 | $96 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 52 | $90 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 52 | $119 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 50 | $261 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 44 | $138 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 217 | 206 |
| Omeprazole | 104 | 43 |
| Pantoprazole Sodium | 95 | 38 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 78 | 72 |
| Linaclotidebrand: Linzess | 43 | 15 |
| Famotidine | 40 | 20 |
| Dicyclomine Hcl | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$291 across 8 records (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
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Frequently asked questions
- What is Kevin Dholaria's NPI number?
- Kevin Dholaria's National Provider Identifier (NPI) is 1629343736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Dholaria's specialty?
- Kevin Dholaria is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Dholaria located?
- Kevin Dholaria's practice location on file with NPPES is 11480 Brookshire Ave Ste 111, Downey, CA 90241-5021.
- What is Kevin Dholaria's phone number?
- The practice phone number listed in the NPPES registry for Kevin Dholaria is (562) 904-4445.
- Does Kevin Dholaria accept Medicare?
- Kevin Dholaria is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Dholaria's NPI active?
- Yes — Kevin Dholaria's NPI (1629343736) is active in the NPPES registry as of the last update on 2022-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.