Active NPI
Bankim H Dalal, MD
- Gastroenterology Physician
- Visalia, CA
National Provider Identifier
1174500607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C51130
- Practice address
- 1622 S Court St
Visalia, CA 93277 - Phone
- (559) 635-2262
- Fax
- (559) 635-2252
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C51130 | CA | Primary |
Addresses
Primary practice location
1622 S Court St
Visalia, CA 93277
Mailing address
1622 S Court St
Visalia, CA 93277
Phone (559) 635-2262
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100016409 | Other | OH | MEDICARE RAILROAD |
| 0598125 | Medicaid | OH | |
| 0598125 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51130 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffry a Brown, MD | Gastroenterology | Past | Accepting new patients |
| Kaweah Delta Health Care District | Past | Accepting new patients |
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.
-
- Gastroenterology Physician
- Visalia, CA
- NPI 1538323605
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1174500607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1622 S COURT ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-635-2262",
"fax_number": "559-635-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 S COURT ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-635-2262",
"fax_number": "559-635-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALAL",
"first_name": "BANKIM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C51130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "100016409",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0598125",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0598125",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.