NPPES file of Aug 9, 2026

Priyal Pragnesh Dholakiya, MD

Gynecologic Oncology Physician · Laguna Hills, CA

Priyal Pragnesh Dholakiya, MD is a gynecologic oncology physician with a practice address in Laguna Hills, California, and NPI 1912165259, issued on May 22, 2008. Check the license (California A108860, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1912165259
Name
Priyal Pragnesh Dholakiya
Credential
MD
Primary taxonomy
Gynecologic Oncology Physician 207VX0201X
License number
A108860 CA
Self-reported in NPPES; status is on the state search
Practice location
24401 Health Center Drive, Suite 200, Laguna Hills, CA 92653
Phone
(657) 241-8788
Enumerated
May 22, 2008
Record last updated
Aug 19, 2024
Fax
(714) 665-4690
Medicare enrollment
Enrolled (PECOS I20150827001283); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 24401 Health Center Drive, Suite 200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Amy Bremner, MDSurgery Physician1649461120
  2. Kristen BynonPhysician Assistant1407207095
  3. Natalie Terreri, PA-CPhysician Assistant1114506730

Verify Priyal Pragnesh Dholakiya in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A108860
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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86% fewer Medicare Part D claims than the average gynecologic oncology physician in 2024

28 Medicare Part D claims for 21 beneficiaries, against an average of 195 among the 1,475 providers of this specialty who prescribed in Part D.

  1. Priyal Dholakiya28
  2. Specialty average195

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.7 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.9
  2. Costout of 100 · 30%55.1
  3. Promoting interoperabilityout of 100 · 25%78.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $16.35

1 payment: food and beverage; the largest payer was Ethicon US, LLC. The 1,199 providers of this specialty with any payment received $6,387.20 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Priyal Dholakiya$16.35
  2. Specialty average$6,387.20

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Memorialcare Medical FoundationLaguna Hills, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Priyal Pragnesh Dholakiya among 176 gynecologic oncology physician records in California

Priyal Pragnesh Dholakiya, MD is one of 176 gynecologic oncology physician records with a practice address in California. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 57% of them.

  • NPI issued2008 · 57% of these records are older, 35% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2007 · median 2004 among the 131 with a school on file
  • Record last updated2024 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VX0201X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gynecologic Oncology Physician providers in California

There are 176 gynecologic oncology physician records in California.

The 8 gynecologic oncology physician records with the nearest ZIP codes

  1. Lisa Abaid, M.D., M.P.H.Newport Beach, CA 926631295943132
  2. Tiffany Beck, MDNewport Beach, CA 926631619144151
  3. John Brown, M.D.Newport Beach, CA 926631659313633
  4. Monica Levine, MS,MDNewport Beach, CA 926631285868208
  5. Alberto Mendivil, M.D.Newport Beach, CA 926631801097662
  6. John Micha, M.D.Newport Beach, CA 926631538115324
  7. Danielle JandialOrange, CA 926831295977932
  8. Laurie Brunette, M.D.Irvine, CA 926181962639203

Common questions

What is Priyal Pragnesh Dholakiya, MD's NPI number?

Priyal Pragnesh Dholakiya, MD's National Provider Identifier (NPI) is 1912165259, issued on May 22, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Priyal Pragnesh Dholakiya, MD located?

The NPPES record lists a practice address at 24401 Health Center Drive, Suite 200, Laguna Hills, CA, 92653. Phone: (657) 241-8788. Providers update this record themselves, so call before visiting.

How can I verify Priyal Pragnesh Dholakiya, MD's license?

NPPES lists California license number A108860, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Priyal Pragnesh Dholakiya, MD prescribe under Medicare Part D?

In 2024, Priyal Pragnesh Dholakiya, MD had 28 Medicare Part D claims for 21 beneficiaries; the average among gynecologic oncology physician prescribers was 195. Part D covers Medicare prescriptions only.

What is Priyal Pragnesh Dholakiya, MD's MIPS final score?

The 2023 MIPS final score is 76.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.