2026 NPPES data Nephrology Physician NPI 1912941956 M.D.
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HARESH KHILNANI, M.D.

Nephrology Physician in ARCADIA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 297 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
12.1813/100
▼ 71 pts below national avg 83.1 · [object Object]

What the federal data shows

HARESH KHILNANI, M.D. reported a CMS MIPS final score of 12.1813/100 — below the 83.1 national average — and filed 3,182 Medicare Part D claims in 2023.

12.1813/100
MIPS score · -71 vs avg
3K
Part D claims, 2023
80%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

HARESH KHILNANI, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

12 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

HARESH KHILNANI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about HARESH KHILNANI, M.D.?

Below national average

NPI registry status

Active

Issued 06/16/2006

NPI 1912941956

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

3,182 119% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

12.1813/100 70.9187% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Nephrology Physician compares to other specialties among California providers

California providers

Nephrology Physician share within California

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within California

Medicare quality performance — MIPS

HARESH KHILNANI, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

Below national average
MIPS Final Score
12.1813/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 12.1813/100 vs national avg 83.1

0%100%National avg83%12.2%
MIPS final score (Nephrology Physician) — 12.1813/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

HARESH KHILNANI, M.D. is a Nephrology Physician provider practicing in ARCADIA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1912941956. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HARESH KHILNANI, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 51 N 5TH AVE # 302, ARCADIA, CA, 91006, with a listed phone of (626) 256-1000. NPI 1912941956 was issued on 06/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KHILNANI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,182 prescription claims written by this provider, covering 297 Medicare beneficiaries and totaling roughly $718K in drug spend, split 20% brand-name and 80% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 12.1813/100 for the 2023 performance year (Quality 0, Cost 40.6043), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

51 N 5TH AVE # 302
ARCADIA, CA 91006

Provider Details

NPI 1912941956
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 06/16/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

12.1813
Final Score
Avg: 83.1
0
Quality
40.6043
Cost

Reporting: Individual

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to HARESH KHILNANI, M.D.. To verify HARESH KHILNANI, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HARESH KHILNANI, M.D. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 3,182 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,182
Total Claims
$718K
Total Drug Cost
297
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,220
Total Day Supply
151,204
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$648K
Generic Drug Cost
$69K
Antibiotic Claims
171

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
4.63
Gender Split
47% female / 53% male
Age Distribution
<65: 39, 65-74: 85, 75-84: 115, 85+: 58

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Velphoro
Sucroferric Oxyhydroxide
258
Carvedilol
175
Nifedipine Er
Nifedipine
157
Losartan Potassium
139
Atorvastatin Calcium
138
Sevelamer Carbonate
135
Furosemide
96
Pantoprazole Sodium
96
Calcium Acetate
92
Amlodipine Besylate
83

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How HARESH KHILNANI, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

HARESH KHILNANI, M.D.'s 3,182 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as KHILNANI.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HARESH KHILNANI, M.D.'s specialty?
HARESH KHILNANI, M.D. specializes in Nephrology Physician and practices in ARCADIA, California. Credentials: M.D..
How much does HARESH KHILNANI, M.D. prescribe under Medicare Part D?
In 2023, HARESH KHILNANI, M.D. wrote 3,182 Medicare Part D claims totaling $718K in drug costs for 297 beneficiaries.
What is HARESH KHILNANI, M.D.'s Medicare quality score?
HARESH KHILNANI, M.D. has a CMS MIPS Final Score of 12.1813/100 (Quality: 0, Cost: 40.6043). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HARESH KHILNANI, M.D. located?
HARESH KHILNANI, M.D. is located at 51 N 5TH AVE # 302, ARCADIA, CA, 91006. Phone: (626) 256-1000.
What is HARESH KHILNANI, M.D.'s NPI number?
HARESH KHILNANI, M.D.'s National Provider Identifier (NPI) is 1912941956, issued on 06/16/2006.
Does HARESH KHILNANI, M.D. prescribe more brand-name or generic drugs?
HARESH KHILNANI, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $648K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does HARESH KHILNANI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HARESH KHILNANI, M.D.'s most frequently prescribed drugs include Velphoro, Carvedilol, Nifedipine Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HARESH KHILNANI, M.D. accept Medicare?
HARESH KHILNANI, M.D. appears in CMS Medicare data with 3,182 Part D claims and 297 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HARESH KHILNANI, M.D.'s credentials?
HARESH KHILNANI, M.D.'s NPI is 1912941956 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology