Karishma Vijay Tolani, MD - Medicare Family Practice in Norfolk, VA

Karishma Vijay Tolani, MD is a medicare enrolled "Family Medicine" physician in Norfolk, Virginia. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sentara Medical Group and her current practice location is 600 Gresham Dr Fl 5, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 388-3198.

Karishma Vijay Tolani is licensed to practice in Virginia (license number 0101267472) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578069266.

Contact Information

Karishma Vijay Tolani, MD
600 Gresham Dr Fl 5,
Norfolk, VA 23507-1904
(757) 388-3198
(757) 388-4242

Map and Direction




Physician's Profile

Full NameKarishma Vijay Tolani
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location600 Gresham Dr Fl 5, Norfolk, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karishma Vijay Tolani graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1578069266
  • Provider Enumeration Date: 04/02/2018
  • Last Update Date: 07/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3476806647
  • Enrollment ID: I20200714001531

Medical Identifiers

Medical identifiers for Karishma Vijay Tolani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578069266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 0101267472 (Virginia)Secondary
207Q00000XFamily Medicine 0101267472 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Norfolk General HospitalNorfolk, VAHospital
Sentara Leigh HospitalNorfolk, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentara Medical Group89219039231091

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karishma Vijay Tolani allows following entities to bill medicare on her behalf.
Entity NamePatient First Richmond Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689603748
PECOS PAC ID: 9931011434
Enrollment ID: O20031103000500
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karishma Vijay Tolani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Karishma Vijay Tolani, MD
600 Gresham Dr Fl 5,
Norfolk, VA 23507-1904

Ph: (757) 388-3198
Karishma Vijay Tolani, MD
600 Gresham Dr Fl 5,
Norfolk, VA 23507-1904

Ph: (757) 388-3198

Reviews and Comments


Family Medicine Doctors in Norfolk, VA

Dr. Elizabeth Robledo, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 885 Kempsville Rd, Norfolk, VA 23502
Phone: 757-955-2828    
Dr. Richard M. Whalen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 825 Fairfax Ave, Suite 118, Norfolk, VA 23507
Phone: 757-446-5955    Fax: 757-446-5196
Dr. Kristina Alexa Carney, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Fleet Forces Command 1562 Mitscher Ave Suite 250, Norfolk, VA 23551
Phone: 757-836-3644    
Dr. John O Joyce, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1326 E Little Creek Rd, Norfolk, VA 23518
Phone: 757-583-6338    Fax: 757-531-9410
Alan Joseph Nicotra, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1059 Bellinger Blvd, Norfolk, VA 23511
Phone: 757-444-1143    
Dr. Linda Brown Trudel, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 549 E Brambleton Ave, Norfolk, VA 23510
Phone: 757-393-1136    
Sajuma Bhaju, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507
Phone: 757-388-3198    Fax: 757-686-0541

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.