NPIMap

Individual provider Active NPI

Shawn Dhillon, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1215914437
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0058860 Issued in MD
Practice address
2 Hamill Rd Ste 272
Baltimore, MD 21210-1816
Phone
(410) 670-5500
Fax
(410) 541-4718
NPI assigned
Dec 29, 2005
Last updated
May 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0058860 MD Primary

Addresses

Primary practice location

2 Hamill Rd Ste 272
Baltimore, MD 21210-1816

Mailing address

2 Hamill Rd Ste 272
Baltimore, MD 21210-1816
Phone (410) 670-5500

Other identifiers 1

IdentifierTypeStateIssuer
450800900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20060227000443 MD Practitioner - Internal Medicine 6608882774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shawn Dhillon MD PCGroup PAC ID 8527074699, 3 clinicians

Practice addresses (Care Compare)

2 Hamill Rd
Suite 272
Baltimore, MD 21210-1816
Phone (410) 261-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.5 of 100Reported as group
Quality
30
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058860MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn Dhillon, M.D., P.C. CurrentSince Aug 26, 2002 Accepting new patients
Shawn Dhillon, M.D., P.C. Internal Medicine CurrentSince Aug 26, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Roland Park Place Health Care Corporation Past Accepting new patients
Shawn Dhillon, M.D., P.C. Past Accepting new patients

Locations

2 Hamill Rd
Ste 272
Baltimore, MD 21210
Phone (410) 261-8532

3333 N Calvert St
Ste 555
Baltimore, MD 21218
Phone (410) 261-8800

Organizations & group practices 5

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1215914437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 272",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101816",
            "telephone_number": "410-670-5500",
            "fax_number": "410-541-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 272",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101816",
            "telephone_number": "410-670-5500",
            "fax_number": "410-541-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0058860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450800900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.