Active NPI
Setu A Dalal, D.O.
- Surgical Critical Care Physician
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- OS 10402
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00691798 | Other | FL | RR MEDICARE |
| 000431300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Northern Dutchess Hospital
- Sharon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 63.01
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.008816 | OH | MD | Surgery Physician |
| OS 10402 | FL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Hackensack Surgery and Wound Care LLC | Surgery | Current | Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| New York Surgicalist Services, P.C. | Surgery | Current | Accepting new patients |
| Ccmma NJ LLC | Surgery | Current | Accepting new patients |
| Health Quest Medical Practice, PC | Current | 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
- 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.
-
- Surgery Physician
- Hackensack, NJ
- NPI 1326640806
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Surgery Physician
- Newburgh, NY
- NPI 1720663768
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
-
- Neurological Surgery Physician
- Fort Pierce, FL
- NPI 1649437765
-
- Surgery Physician
- Hackensack, NJ
- NPI 1174700561
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- General Acute Care Hospital
- Sharon, CT
- NPI 1235131442
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.