NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1235249624 MD
Verify on CMS → Vrishali Dalvi, MD
Rheumatology Physician in Largo, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,200 in Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
3K
Medicare Part D claims · 693 beneficiaries · Rheumatology Physician avg: 2K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Vrishali Dalvi, MD filed 3,117 Medicare Part D claims in 2023 as a Rheumatology Physician in Largo, Maryland.
- 3K
- Part D claims, 2023
- 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.
Vrishali Dalvi, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,117 Top 11% higher than 89% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Vrishali Dalvi, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Vrishali Dalvi, MD?
Quality data not reportedPrimary specialty
Rheumatology Physician
Medicare Part D claims
3,117 52% vs specialty avg
Specialty distribution in Maryland
How Rheumatology Physician compares to other specialties among Maryland providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Rheumatology Physician. Verify directly:
How MIPS and board certification work
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).
Vrishali Dalvi, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 1221 MERCANTILE LN, Largo, MD, 20774, with a listed phone of (301) 572-3339. NPI 1235249624 was issued on 08/30/2006.
Medicare Part D records for calendar year 2023 show 3,117 prescription claims written by this provider, covering 693 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, with an opioid prescribing rate of 1.8%.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,200 enrolled providers across 52 states and an average of 2,054 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
Provider Details
| NPI | 1235249624 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 08/30/2006 |
Hospital and facility affiliations
Facilities where Vrishali Dalvi, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Kaiser Foundation Health Plan OF The Mid Atlantic States, Inc
Largo, MD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
3,117
Total Claims
$1.8M
Total Drug Cost
693
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,962
- Total Day Supply
- 204,990
- Generic Drug Cost
- $61K
- Opioid Claims
- 55 (1.8% rate)
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 1.69
- Gender Split
- 78% female / 22% male
- Age Distribution
- <65: 77, 65-74: 309, 75-84: 253, 85+: 54
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Vrishali Dalvi, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methotrexate
Methotrexate
763 claims
- Prednisone
Prednisone
491 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
314 claims
- Leflunomide 165
Leflunomide
165 claims
- Allopurinol 130
Allopurinol
130 claims
- Enbrel Sureclick 88
Enbrel Sureclick
88 claims
- Colchicine 79
Colchicine
79 claims
- Xeljanz 72
Xeljanz
72 claims
| Drug | Claims |
|---|---|
| Methotrexate Methotrexate Sodium | 763 |
| Prednisone | 491 |
| Hydroxychloroquine Sulfate | 314 |
| Leflunomide | 165 |
| Allopurinol | 130 |
| Enbrel Sureclick Etanercept | 88 |
| Colchicine | 79 |
| Xeljanz Tofacitinib Citrate | 72 |
| Duloxetine Hcl | 69 |
| Amjevita(Cf) Autoinjector Adalimumab-Atto | 58 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Vrishali Dalvi, MD fits within the Rheumatology Physician landscape nationally.
6,200
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Vrishali Dalvi, MD's 3,117 claims are above the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Dalvi.
Dr. Jonathan Adelson
M.D.
Greenbelt, MD
Dr. Naila Ahmad
MD
Easton, MD
Dr. Grace Ahn
M.D.
Rockville, MD
Dr. Maria Alba-Dauhajre
MD
Silver Spring, MD
Dr. Jemima Felicity Albayda
MD
Baltimore, MD
Compare Rheumatology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Vrishali Dalvi, MD's specialty? ▼
Vrishali Dalvi, MD specializes in Rheumatology Physician and practices in Largo, Maryland. Credentials: MD.
How much does Vrishali Dalvi, MD prescribe under Medicare Part D? ▼
In 2023, Vrishali Dalvi, MD wrote 3,117 Medicare Part D claims totaling $1.8M in drug costs for 693 beneficiaries.
Where is Vrishali Dalvi, MD located? ▼
Vrishali Dalvi, MD is located at 1221 MERCANTILE LN, Largo, MD, 20774. Phone: (301) 572-3339.
What is Vrishali Dalvi, MD's NPI number? ▼
Vrishali Dalvi, MD's National Provider Identifier (NPI) is 1235249624, issued on 08/30/2006.
Does Vrishali Dalvi, MD prescribe opioids? ▼
Yes, Vrishali Dalvi, MD had 55 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,200 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Vrishali Dalvi, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Vrishali Dalvi, MD's most frequently prescribed drugs include Methotrexate, Prednisone, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Vrishali Dalvi, MD accept Medicare? ▼
Vrishali Dalvi, MD appears in CMS Medicare data with 3,117 Part D claims and 693 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vrishali Dalvi, MD's credentials? ▼
Vrishali Dalvi, MD's NPI is 1235249624 with credentials MD. 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
View source datasets and methodology notes
- 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.