Individual provider Active NPI

Dial Hewlett, MD

  • Infectious Disease Physician
  • Bronx, NY
National Provider Identifier
1043299894
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
138794 Issued in NY
Practice address
1740 Eastchester Rd
Medicakl Staff Offices
Bronx, NY 10461-2300
Phone
(914) 330-3747
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 138794 NY Primary

Addresses

Primary practice location

1740 Eastchester Rd
Medicakl Staff Offices
Bronx, NY 10461-2300

Mailing address

1740 Eastchester Rd
Medicakl Staff Offices
Bronx, NY 10461-2300
Phone (914) 330-3747

Other identifiers 1

IdentifierTypeStateIssuer
00797264MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090521000453 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 5698824670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Wisconsin School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calvary Hospital IncGroup PAC ID 9133010382, 50 clinicians

Practice addresses (Care Compare)

1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calvary Hospital Inc CurrentSince Mar 16, 2016 Accepting new patients
Calvary Hospital Inc CurrentSince Mar 16, 2016 Accepting new patients

Locations

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

1740 Eastchester Rd
Ofc
Bronx, NY 10461
Phone (914) 330-3747

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1043299894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 EASTCHESTER RD",
            "address_2": "MEDICAKL STAFF OFFICES",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612300",
            "telephone_number": "914-330-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 EASTCHESTER RD",
            "address_2": "MEDICAKL STAFF OFFICES",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612300",
            "telephone_number": "914-330-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWLETT",
        "first_name": "DIAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "138794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00797264",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.