NPIMap

Individual provider Active NPI

Perminder Dhillon, M.D.

  • Cardiovascular Disease Physician
  • Needham, MA
National Provider Identifier
1053419192
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
54684 Issued in MA
Practice address
1410 Highland Ave
Needham, MA 02492-2671
Phone
(781) 444-5846
Fax
(781) 449-1159
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 54684 MA Primary
Internal Medicine Physician 207R00000X 54684 MA

Addresses

Primary practice location

1410 Highland Ave
Needham, MA 02492-2671

Mailing address

1410 Highland Ave
Needham, MA 02492-2671
Phone (781) 444-5846

Other identifiers 1

IdentifierTypeStateIssuer
3033228MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000097 MA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7315994209 Reassigns benefits to 1 organization
Practice locations: Needham, MA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

310 Chestnut St
Needham, MA 02492-2411
Phone (617) 754-0600

392 Chestnut St
Needham, MA 02492-2411
Phone (617) 754-0650

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Bayada Home Health Care, Inc Home health agency, Canton, MA, CCN 227551
  • Natick Walpole Visiting Nurse Association Home health agency, Walpole, MA, CCN 227139
  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Good Shepherd Community Care Hospice, Newton, MA, CCN 221500
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54684MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation Internal Medicine CurrentSince Oct 21, 2017 Accepting new patients
Needham Chiropractic Associates P.C. PastSince Sep 1, 2012 Accepting new patients
Elizabeth H. Handel, M.D. Internal Medicine Past Accepting new patients

Locations

310 Chestnut St
Needham, MA 02492
Phone (617) 754-0600

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: pdhillon435631@direct.bilh.masshiway.net

Organizations & group practices 4

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 11

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1053419192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922671",
            "telephone_number": "781-444-5846",
            "fax_number": "781-449-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922671",
            "telephone_number": "781-444-5846",
            "fax_number": "781-449-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "PERMINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "54684",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "54684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3033228",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.