Individual provider Active NPI

Pushpinder Dhillon, M.D., F.A.C.O.G

  • Maternal & Fetal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1104058718
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
0101251867 Issued in VA
Practice address
412 Cambridge Street
Fredericksburg, VA 22405-1455
Phone
(540) 373-7667
Fax
(540) 373-7676
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 0101251867 VA Primary

Addresses

Primary practice location

412 Cambridge Street
Fredericksburg, VA 22405-1455

Mailing address

412 Cambridge St
Fredericksburg, VA 22405-1455
Phone (540) 373-7667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120910000745 VA Practitioner - Obstetrics/Gynecology 3678721016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101251867VAMDMaternal & Fetal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1104058718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051455",
            "telephone_number": "540-373-7667",
            "fax_number": "540-373-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CAMBRIDGE STREET",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051455",
            "telephone_number": "540-373-7667",
            "fax_number": "540-373-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "PUSHPINDER",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.O.G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "VA",
            "license": "0101251867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.