GARGI VIDHOLIA (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1366628703

GARGI VIDHOLIA (M.D.) is a healthcare provider. based in Grosse pointe farms, Michigan. specializing in GERIATRIC MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301089848 (MI). The NPI Number for GARGI VIDHOLIA (M.D.) is 1366628703

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
GARGI VIDHOLIA (M.D.)
NPI
1366628703
Phone
(313) 640-2277
Address
159 KERCHEVAL AVE
Enumeration Date
16 January 2008
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882871082
Graduation Year
2003 (23 years ago)
PAC ID
3072781830
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20110721000380
Address ID
MI481092700AN4270XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

204 GERIATRIC MEDICINE in MI

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Provider Addresses for GARGI VIDHOLIA (M.D.)

  • Henry Ford Medical Center-Cottage, 159, Kercheval Avenue, Grosse Pointe Farms, Wayne County, Michigan, 48236, United States

    THE ASSESSMENT CENTER FOR SENIORS, HENRY FORD COTTAGE

    GROSSE POINTE FARMS, MI 482363610

    Phone: (313) 640-2277

    Fax: (313) 640-2548

    Type: Location

  • 159 Kercheval Ave

    THE ASSESSMENT CENTER FOR SENIORS, HENRY FORD COTTAGE

    Grosse Pointe Farms, MI 482363610

    Phone: (313) 640-2277

    Fax: (313) 640-2548

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 20321 FARMINGTON RD

    LIVONIA, MI 481521411

    Phone: (734) 764-6831

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110721000380IGeriatric MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes1414$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or1111$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I cross-check GARGI VIDHOLIA (M.D.) using NPI 1366628703?
NPI 1366628703 belongs to GARGI VIDHOLIA (M.D.); compare other details if you need extra assurance.
Would GARGI VIDHOLIA (M.D.) appear as active to a payer?
You can treat GARGI VIDHOLIA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with GARGI VIDHOLIA (M.D.)?
GARGI VIDHOLIA (M.D.)'s record emphasizes Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is GARGI VIDHOLIA (M.D.) located near Grosse Pointe Farms?
GARGI VIDHOLIA (M.D.) currently maps to Grosse Pointe Farms, Michigan in this extract.
Can I trust this NPI listing for GARGI VIDHOLIA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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