Individual provider Active NPI

Dalbir S Purewal, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1043241441
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3405 Issued in TX
Practice address
18220 Tomball Pkwy
Suite 400
Houston, TX 77070-4347
Phone
(281) 737-0570
Fax
(281) 807-6024
NPI assigned
Jul 5, 2006
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3405 TX Primary

Addresses

Primary practice location

18220 Tomball Pkwy
Suite 400
Houston, TX 77070-4347

Mailing address

18220 Tomball Pkwy
Suite 400
Houston, TX 77070-4347
Phone (281) 737-0570

Other identifiers 8

IdentifierTypeStateIssuer
042938302MedicaidTX
042938303MedicaidTX
1043241441OtherTXNPI PROVIDER #
P01114503OtherTXRR MEDICARE
8DF830OtherTXBLUE CROSS BLUE SHIELD
042938301MedicaidTX
1043241441OtherTXBLUE CROSS BLUE SHIELD
8DT626OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000133 TX Practitioner - Family Practice 1153503651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1431 Studemont St
Suite C2400
Houston, TX 77007-3803
Phone (281) 242-2980

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Feb 2, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 1, 2016 Accepting new patients
Champions Family Practice, P.a Family Medicine CurrentSince Aug 9, 1997 Accepting new patients
TMH Physician Associates PLLC Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Feb 2, 2019 Accepting new patients

Locations

2610 N Alexander Dr
Ste 201
Baytown, TX 77520
Phone (281) 427-6363

18220 Tomball Pkwy
Ste 400
Houston, TX 77070
Phone (281) 737-0570

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

16740 Champion Forest Dr
Spring, TX 77379
Phone (281) 376-2828

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1043241441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18220 TOMBALL PKWY",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704347",
            "telephone_number": "281-737-0570",
            "fax_number": "281-807-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 TOMBALL PKWY",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704347",
            "telephone_number": "281-737-0570",
            "fax_number": "281-807-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUREWAL",
        "first_name": "DALBIR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042938302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042938303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER #",
            "identifier": "1043241441",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01114503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8DF830",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042938301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1043241441",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8DT626",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.