Priyal Dholakiya, MD
NPI 1912165259 · Gynecologic Oncology Physician · Laguna Hills, CA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priyal Dholakiya, MD is a Gynecologic Oncology Physician provider in Laguna Hills, CA (NPI 1912165259).
Provider details
- NPI number
- 1912165259
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A108860 (CA)
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
18 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
66 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 18 | $145 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 16 | $6 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 16 | $245 |
| Pelvic Exam99459 | 16 | $28 |
Typical Medicare-allowed amounts for these services range $6–$245 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 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
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Frequently asked questions
- What is Priyal Dholakiya's NPI number?
- Priyal Dholakiya's National Provider Identifier (NPI) is 1912165259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priyal Dholakiya's specialty?
- Priyal Dholakiya is listed in the NPPES registry with a primary specialty of Gynecologic Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Priyal Dholakiya located?
- Priyal Dholakiya's practice location on file with NPPES is 24401 Health Center Drive, Suite 200, Laguna Hills, CA 92653.
- What is Priyal Dholakiya's phone number?
- The practice phone number listed in the NPPES registry for Priyal Dholakiya is (657) 241-8788.
- Does Priyal Dholakiya accept Medicare?
- Priyal Dholakiya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priyal Dholakiya's NPI active?
- Yes — Priyal Dholakiya's NPI (1912165259) is active in the NPPES registry as of the last update on 2024-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.