Dr. Kevin R. Dholaria, MD
- Medicare services, 2024
- 433
- Medicare patients, 2024
- 245
- Part D claims, 2024
- 947
- Publications
- 7
- MIPS score, 2024
- 79
- Practice address
- 11500 Brookshire Avenue, Downey, CA 90241
- Practice phone
- Call (562) 904-5000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Dholaria's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Kevin R. Dholaria is a gastroenterologist in Downey, California
Dr. Dholaria practices at PIH Health Downey Hospital in Downey, California, part of PIH Health.
Dr. Dholaria's NPI, 1629343736, was assigned on March 21, 2012. Dr. Dholaria graduated from VCU School of Medicine in 2012. Dr. Dholaria holds California license A161629.
- NPI
- 1629343736NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8527490309
- NPI enumeration date
- March 21, 2012
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (562) 904-5000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 40
- Medical school graduation
- 2012
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Kevin R. Dholaria practices at PIH Health Downey Hospital in Downey, California
Dr. Dholaria's primary practice is PIH Health Downey Hospital, at 11500 Brookshire Avenue, Downey, CA 90241 in Los Angeles County. The practice phone is (562) 904-5000.
- PIH Health Downey Hospital11500 Brookshire Avenue, Downey, CA 90241 · Los Angeles CountyPhone(562) 904-5000
Source: Dmand AI Affiliation Data
Dr. Kevin R. Dholaria is affiliated with 3 sites of care and 2 medical groups
Dr. Dholaria's primary practice is PIH Health Downey Hospital in Downey, California, part of PIH Health. Dr. Dholaria is also affiliated with PIH Health Whittier Hospital. The medical group on file is PIH Health Physicians. Dmand AI also links Dr. Dholaria to 1 more group practice or clinic and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Kevin R. Dholaria's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Dholaria practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| PIH Health Downey Hospital | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Kevin R. Dholaria is one of 1,977 gastroenterologists in California
Gastroenterology is Dr. Dholaria's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Dholaria is board certified in gastroenterology by the American Board of Internal Medicine. Dmand AI has Dr. Dholaria's licenses on file in 2 states: California and Florida.
Specialties and state licenses
- Gastroenterology, CaliforniaPrimary
- Florida license
Clinical focus
Dmand AI lists acid reflux, acute gastroduodenitis, cirrhosis of the liver, colonoscopy, gastroduodenitis, gastroenteritis, hemorrhoids and hepatitis c among the conditions Dr. Dholaria treats.
Gastroenterologists near Dr. Dholaria
Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Kevin R. Dholaria billed Medicare for 433 services in 2024
CMS data shows 433 Medicare services from Dr. Dholaria across 11 procedure codes in 2024, for 245 Medicare patients. Medicare paid $40,366 for them.
Dr. Dholaria's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 2292024: 30232%
- Surgery
- 2023: 992024: 13132%
Where Dr. Dholaria's Medicare services took place, 2024
- In an office24757%
- In a facility18643%
Dr. Dholaria compared with the California median for gastroenterologists, 2024
- Dr. Dholaria
- California median
- Medicare services
- 433vs 58626% below
- Medicare patients
- 245vs 30219% below
- Part D claims
- 762vs 3802.0 times
Medians across 1,875 gastroenterologists in California with Dmand AI profiles that report each measure.
Dr. Dholaria's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Dholaria?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Dholaria and other gastroenterologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Kevin R. Dholaria treated 245 Medicare patients in 2024, average age 73
CMS counts 245 Medicare patients who saw Dr. Dholaria in 2024. The largest group is 65 to 74, with 129 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 41% are also on Medicaid. Their average risk score is 1.58, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Dholaria's median patient age at 62, with 58% women.
Dr. Dholaria's Medicare patients by age, 2024
Dr. Dholaria's Medicare patients by sex, 2024
- Women13254%
- Men11346%
Chronic conditions among Dr. Dholaria's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Diabetes62%
- Arthritis44%
- Chronic kidney disease34%
- Heart failure25%
- Ischemic heart disease23%
- Mood disorders20%
Share of Medicare patients with each condition. A patient can have several.
Dr. Dholaria's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 62
Patient panel by sex, all payers
- Women58%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Kevin R. Dholaria wrote 947 Medicare Part D claims in 2024
In 2024, Dr. Dholaria wrote 947 Medicare Part D claims for 457 patients. 80% of them were for generic drugs. CMS names the drug for 762 of them, across 16 drugs with 11 or more claims each, at $133,617 in total drug cost. In 2023, CMS named 480 claims across 12 drugs.
Dr. Dholaria's Part D claims by kind of drug, 2024
- Generic760 claims80%
- Brand-name and other187 claims20%
Dr. Dholaria's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Dholaria's Part D claims, 2024
- Antibiotics4%42 of 947 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 4802024: 76259%
Drugs named by CMS: 16 in 2024, 12 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Kevin R. Dholaria scored 79 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 79 out of 100 for Dr. Dholaria for performance year 2024, reported as part of a group. Dr. Dholaria accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 29 procedures of upper gastrointestinal (gi) endoscopy for acid reflux by Dr. Dholaria, more than 55% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Dholaria's MIPS scores, performance year 2024
- 79of 100Final score
- 58.7of 100Quality
- 40of 100Improvement Activities
- 75of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Dholaria ranks in Medicare procedure volume
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 55th percentile29 procedures
- Colonoscopy
- 52nd percentile27 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Kevin R. Dholaria has 7 publications on record
Dmand AI links 7 papers to Dr. Dholaria, published from 2012 to 2018. Dr. Dholaria has published most often in ACG Case Rep J. Dr. Dholaria's most frequent co-authors are Hussein Abidali, DO, Leopoldo Arosemena, MD and Danny Juan Avalos, MD.
Dr. Dholaria's papers by year, 2012 to 2018
Dr. Dholaria's most frequent co-authors
- Hussein Abidali, DO2 shared papers
- Leopoldo Arosemena, MD2 shared papers
- Danny Juan Avalos, MD2 shared papers
Recent publications by Dr. Dholaria
See who Dr. Dholaria researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Dholaria works with, so you can find a warm path to the right gastroenterologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Kevin R. Dholaria received $4,916 in industry payments from 2016 to 2025
CMS Open Payments shows 172 general payments to Dr. Dholaria from 20 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 92% of the total. Boston Scientific Corporation paid the most, $823.
General payments to Dr. Dholaria by program year, 2016 to 2025
General payments to Dr. Dholaria by kind, 2016 to 2025
- Food and beverage$4,50492%
- Travel and lodging$3186%
- Gifts$872%
- Education$70%
Companies that paid Dr. Dholaria the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Kevin R. Dholaria graduated from VCU School of Medicine
Dr. Dholaria graduated from VCU School of Medicine in 2012.
- Medical school
- Board certified in gastroenterology
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. Kevin R. Dholaria accepts plans from 11 insurance carriers
Dr. Dholaria is in network with 11 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Humana
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Regence Health Plans
- Aspirus Health Plan
- +3 more carriersWith a free account
Plan types Dr. Dholaria accepts, by number of carriers
- Medicare8
- PPO8
- HMO4
- POS4
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Dr. Kevin R. Dholaria's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Kevin R. Dholaria
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Kevin R. Dholaria's NPI number?
Dr. Kevin R. Dholaria's NPI number is 1629343736. It was assigned on March 21, 2012, and it is active in the NPI Registry.
What kind of doctor is Dr. Kevin R. Dholaria?
Dr. Kevin R. Dholaria is a gastroenterologist in Downey, California. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).
Where does Dr. Kevin R. Dholaria practice?
Dr. Dholaria practices at 11500 Brookshire Avenue, Downey, CA 90241. Dr. Dholaria's primary practice is PIH Health Downey Hospital in Downey, California, part of PIH Health. Dmand AI also links Dr. Dholaria to 1 group practice or clinic and 1 medical group.
What is Dr. Kevin R. Dholaria's office phone number?
The practice phone on file for Dr. Dholaria is (562) 904-5000.
What is Dr. Kevin R. Dholaria's medical license number?
Dr. Dholaria holds California license A161629, one of the licenses on file in 2 states.
Which states has Dr. Kevin R. Dholaria been licensed in?
Dmand AI has state licenses on file for Dr. Dholaria in California (2019 to 2027) and Florida (2015 to 2021).
Which hospitals is Dr. Kevin R. Dholaria affiliated with?
Dr. Dholaria practices at PIH Health Downey Hospital in Downey, California. Dr. Dholaria is also affiliated with PIH Health Whittier Hospital.
What medical group is Dr. Kevin R. Dholaria part of?
Dr. Dholaria is linked to PIH Health Physicians. Dmand AI links Dr. Dholaria to 1 more medical group.
Does Dr. Kevin R. Dholaria accept Medicare?
Yes. CMS data shows Dr. Dholaria billed Medicare for 433 services in 2024, and Dr. Dholaria accepts Medicare assignment.
What is Dr. Kevin R. Dholaria's MIPS score?
Dr. Dholaria's MIPS final score for performance year 2024 is 79 out of 100, reported as part of a group.
Show 10 more questionsShow fewer questions
How many Medicare patients does Dr. Kevin R. Dholaria see?
CMS counts 245 Medicare patients who saw Dr. Dholaria in 2024, with an average age of 73.
Is Dr. Kevin R. Dholaria board certified?
Yes. Dr. Dholaria is board certified in gastroenterology by the American Board of Internal Medicine.
What services does Dr. Kevin R. Dholaria bill to Medicare?
In 2024, Dr. Dholaria's most billed Medicare services were office visit, established patient (99213), surgery: digestive system (45380) and office visit, new patient (99203).
Where did Dr. Kevin R. Dholaria go to medical school?
Dr. Dholaria graduated from VCU School of Medicine in 2012.
What drugs does Dr. Kevin R. Dholaria prescribe most?
In 2024 Medicare Part D data, Dr. Dholaria's most prescribed drugs by claims were Sod Sulf-Potass Sulf-Mag Sulf, Omeprazole and Pantoprazole Sodium.
Has Dr. Kevin R. Dholaria received payments from drug or device companies?
CMS Open Payments shows $4,916 in general payments to Dr. Dholaria from 20 companies from 2016 to 2025. The largest total came from Boston Scientific Corporation.
How long has Dr. Kevin R. Dholaria been practicing?
Dr. Dholaria graduated from medical school in 2012, 14 years ago.
Does Dr. Kevin R. Dholaria do research?
Dmand AI links 7 publications to Dr. Dholaria, published from 2012 to 2018.
Who does Dr. Kevin R. Dholaria publish with?
Dr. Dholaria's most frequent co-authors are Hussein Abidali, DO (2 shared papers), Leopoldo Arosemena, MD (2 shared papers) and Danny Juan Avalos, MD (2 shared papers).
What insurance does Dr. Kevin R. Dholaria accept?
Dr. Dholaria is in network with 11 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
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