Doctor profile · Federal record
Dr. Vaishal Tolia, M.D., M.P.H.
Emergency Medicine Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · Internal Medicine Physician · Internal Medicine Physician · San Diego, CA
- NPI 1013198696
- Accepts Medicare
- 22 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
200 W Arbor Dr Dept 8676
San Diego, CA 921038676
(619) 543-6463 - Mailing address
-
Po Box 232410
San Diego, CA 921932410
Credentials & registration
- NPI registered
- November 2007 — 19 yrs on file
- Profile last updated
- February 28, 2020
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (2)
- California #A109481 · Illinois #036119723
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013198696. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
726
Distinct HCPCS
10
Medicare allowed
$94,095
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 218 | 214 | $177 | |
99284 |
Emergency department visit with moderate level of medical decision making | 124 | 122 | $122 | |
99349 |
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 102 | 79 | $133 | |
99348 |
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 86 | 75 | $79 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 69 | 28 | $122 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 51 | 51 | $8 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 24 | 24 | $176 | |
99239 |
Hospital discharge day management, more than 30 minutes | 21 | 21 | $119 | |
99283 |
Emergency department visit with low level of medical decision making | 16 | 16 | $73 | |
99291 |
Critical care, first 30-74 minutes | 15 | 15 | $218 |
In context: peer comparison
Among 130 peers in San Diego Emergency Medicine Physician, average services per provider: 67. This provider delivers 11× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
130
Patients
128
Total drug cost
$2,239
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 22 | 22 | $425 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 19 | 17 | $78 |
| Cefpodoxime Proxetil | Generic | 18 | 18 | $1,194 |
| Cephalexin | Generic | 16 | 16 | $200 |
| Ciprofloxacin Hcl | Generic | 16 | 16 | $93 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 15 | 15 | $147 |
| Amoxicillin | Generic | 12 | 12 | $46 |
| Azithromycin | Generic | 12 | 12 | $56 |
Hospital affiliations
Frequently asked questions
What is Dr. Vaishal Tolia's medical specialty?
Dr. Vaishal Tolia practices Emergency Medicine Physician in San Diego, CA.
Where does Dr. Vaishal Tolia practice?
Dr. Vaishal Tolia practices at 200 W Arbor Dr Dept 8676, San Diego, CA 921038676. Office phone: 6195436463.
What is Dr. Vaishal Tolia's NPI?
Dr. Vaishal Tolia's National Provider Identifier (NPI) is 1013198696, issued by NPPES.
Does Dr. Vaishal Tolia accept Medicare assignment?
Yes. Dr. Vaishal Tolia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Vaishal Tolia commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Residence visit for established patient with moderate level of medical decision making (HCPCS 99349). Source: CMS Medicare Physician & Other Practitioners file.