Individual provider Active NPI

Setu A Dalal, D.O.

  • Surgical Critical Care Physician
  • Fort Pierce, FL
National Provider Identifier
1013180447
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
OS 10402 Issued in FL
Practice address
2402 Frist Blvd
Suite 204
Fort Pierce, FL 34950-4838
Phone
(772) 462-3939
Fax
(772) 462-3938
NPI assigned
Apr 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34.008816 OH
Surgical Critical Care Physician 2086S0102X OS 10402 FL Primary

Addresses

Primary practice location

2402 Frist Blvd
Suite 204
Fort Pierce, FL 34950-4838

Mailing address

2402 Frist Blvd
Suite 203
Fort Pierce, FL 34950-4838
Phone (772) 462-3939

Other identifiers 2

IdentifierTypeStateIssuer
P00691798OtherFLRR MEDICARE
000431300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120619000085 NJ Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 0648335216 Reassigns benefits to 2 organizations
I20220804003743 NY Practitioner - General Surgery 0648335216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians
Hackensack Surgery and Wound Care LLCGroup PAC ID 3779974274, 9 clinicians

Practice addresses (Care Compare)

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

5 Summit Ave
Suite 105
Hackensack, NJ 07601-1271
Phone (551) 996-2900

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.008816OHMDSurgery Physician
OS 10402FLMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Sep 12, 2022 Accepting new patients
Hackensack Surgery and Wound Care LLC Surgery CurrentSince Jul 7, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Feb 15, 2023 Accepting new patients
New York Surgicalist Services, P.C. Surgery CurrentSince Feb 15, 2023 Accepting new patients
Ccmma NJ LLC Surgery CurrentSince Jan 1, 2023 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Sep 12, 2022 Accepting new patients
Saraswati D. Dayal, MD, LLC Surgery Past Accepting new patients
Vassar Brothers Hospital Past Accepting new patients
Lawnwood Healthcare Specialists LLC Past Accepting new patients

Locations

5 Summit Ave
Ste 105
Hackensack, NJ 07601
Phone (201) 996-2900

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

407 Gidney Ave
Ste B
Newburgh, NY 12550
Phone (845) 458-4700

21 Reade Pl
Ste 3100
Poughkeepsie, NY 12601
Phone (845) 214-1800

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Interoperability endpoints

  • Direct secure messaging: sdalal189562@ahs.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1013180447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 FRIST BLVD",
            "address_2": "SUITE 203",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504838",
            "telephone_number": "772-462-3939",
            "fax_number": "772-462-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 FRIST BLVD",
            "address_2": "SUITE 204",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504838",
            "telephone_number": "772-462-3939",
            "fax_number": "772-462-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "SETU",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.008816",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "OS 10402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00691798",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000431300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.