Individual provider Active NPI

Arielle Amanda Dahlin, MD

  • Internal Medicine Physician
  • Dothan, AL
National Provider Identifier
1154827624
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.42847 Issued in AL
Practice address
1118 Ross Clark Cir Ste 100
Dothan, AL 36301-3023
Phone
(334) 794-1148
Fax
(334) 793-7592
NPI assigned
Apr 3, 2018
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42847 AL
Internal Medicine Physician 207R00000X MD.42847 AL Primary

Addresses

Primary practice location

1118 Ross Clark Cir Ste 100
Dothan, AL 36301-3023

Mailing address

1118 Ross Clark Cir Ste 100
Dothan, AL 36301-3023
Phone (334) 794-1148

Other names 1

  • Ms. Arielle Amanda D'Cunha Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210827001203 AL Practitioner - Internal Medicine 3072918143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dothan Medical Associates, P.C.Group PAC ID 7416848247, 17 clinicians

Practice addresses (Care Compare)

1118 Ross Clark Cir
Suite 100
Dothan, AL 36301-3023
Phone (334) 794-1148

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42847ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Dothan Medical Associates, P.C. Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jul 12, 2021 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 100
Dothan, AL 36301
Phone (334) 794-1148

1806 Fairview Ave
Dothan, AL 36301
Phone (334) 677-5986

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.37
  • Direct secure messaging: adahlin@dmapc.gwaydirect.com

Organizations & group practices 6

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 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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1154827624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 100",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013023",
            "telephone_number": "334-794-1148",
            "fax_number": "334-793-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 100",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013023",
            "telephone_number": "334-794-1148",
            "fax_number": "334-793-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLIN",
        "first_name": "ARIELLE",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "42847",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.42847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIELLE",
            "last_name": "D'CUNHA",
            "middle_name": "AMANDA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.