Dalwinderpal Singh Samra, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01061542A Issued in IN

Practice address

1547 Ohio Ave.
Anderson, IN 46016-5088

Phone

(609) 694-8566

NPI assigned

Nov 13, 2009

Last updated

Sep 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Madison County Community Health Centers Inc

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1770668030
  NPD (past)
• Madison County Community Health Centers, Inc.

  • Mental Health Counselor
  • Anderson, IN
  • NPI 1902242647
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1023345972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460150349",
            "telephone_number": "765-641-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 OHIO AVE.",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165088",
            "telephone_number": "609-694-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMRA",
        "first_name": "DALWINDERPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245863",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061542A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint John's Health System (Med One South Urgent Care Center)
• Saint Johns Health System (St Johns Health System DME)
• Saint Johns Health System
• Lauren Saloh, M.A., CCC-SLP
• Sarah J Sampson, PA
• Cassie Sams
• Denise Sanders, CNA
• Michelle Lee Sanford, M.A., CCC-SLP
• Henna Sangha
• Jaspreet Sangha

• Internal Medicine Physician in Anderson, IN
• Providers in Anderson, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.