Individual provider Active NPI

Ishani Dalal, MD

  • Nuclear Radiology Physician
  • Detroit, MI
National Provider Identifier
1043425895
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
4301088629 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 282-1440
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 4301088629 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

43680 Laurelwood Dr
Canton, MI 48187-4916
Phone (734) 708-0576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PA2 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
I20080731000575 MI Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 9436223914 Reassigns benefits to 2 organizations
I20260425000112 PA Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 9436223914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1 Ford PL
Detroit, MI 48202-3450
Phone (313) 874-6677

14300 N Beck Rd
Plymouth, MI 48170-3377
Phone (734) 453-5600

14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-1000

19401 Hubbard Dr
Dearborn, MI 48126-2641
Phone (313) 916-2600

22505 Allen Rd
Woodhaven, MI 48183-2237
Phone (734) 671-6217

24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000

24565 Haig St
Taylor, MI 48180-3322
Phone (313) 291-7800

24725 Jefferson Ave
Saint Clair Shores, MI 48080-4500
Phone (586) 774-7800

2799 W Grand Blvd
Detroit, MI 48202-2608

2825 Livernois Rd
Troy, MI 48083-1214
Phone (248) 680-6000

29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone (734) 523-1050

3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (586) 977-9300

39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone (248) 344-6688

40777 Ann Arbor Rd E
Henry Ford Health Ortho Hand Spec
Plymouth, MI 48170-4448
Phone (734) 928-1600

5230 Centre Ave
Pittsburgh, PA 15232-1381
Phone (412) 623-1109

5500 Auto Club Dr
Dearborn, MI 48126-2779
Phone (313) 425-4500

6530 Farmington Rd
West Bloomfield, MI 48322-3216
Phone (248) 661-8240

6773 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6100

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6470

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2008 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 5, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 5, 2020 Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2008 Accepting new patients
Fayette Oncology Associates CurrentSince Apr 16, 2026 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
#5
Detroit, MI 48202
Phone (313) 916-2710

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

51 Brewer Dr
Uniontown, PA 15401
Phone (724) 437-2503

Interoperability endpoints

  • Direct secure messaging: idalal16976@direct.hfhs.org

Organizations & group practices 11

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 8

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1043425895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43680 LAURELWOOD DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874916",
            "telephone_number": "734-708-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-282-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "ISHANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MI",
            "license": "4301088629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.