Active NPI
Bhupinder K Dhalla, M.D.
- General Practice Physician
- Dade City, FL
National Provider Identifier
1194799205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME40866
- Practice address
- 13941 15TH St
Dade City, FL 33525-4010 - Phone
- (352) 521-1450
- Fax
- (352) 523-6910
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME40866 | FL | Primary |
Addresses
Primary practice location
13941 15TH St
Dade City, FL 33525-4010
Mailing address
13941 15TH St
Dade City, FL 33525-4010
Phone (352) 521-1450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068463500 | Medicaid | FL | |
| 30677 | Other | FL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| ME40866 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1194799205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13941 15TH ST",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254010",
"telephone_number": "352-521-1450",
"fax_number": "352-523-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13941 15TH ST",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254010",
"telephone_number": "352-521-1450",
"fax_number": "352-523-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALLA",
"first_name": "BHUPINDER",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME40866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068463500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "30677",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.