NPIMap

Individual provider Active NPI

Promila Dhanuka, M.D.

  • Hematology & Oncology Physician
  • Redding, CA
National Provider Identifier
1225094469
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A95171 Issued in CA
Practice address
2145 Court St
Redding, CA 96001-2531
Phone
(530) 247-1425
Fax
(530) 247-1533
NPI assigned
Apr 25, 2006
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A95171 CA Primary

Addresses

Primary practice location

2145 Court St
Redding, CA 96001-2531

Mailing address

PO Box 994190
Redding, CA 96099-4190
Phone (530) 247-1425

Other identifiers 4

IdentifierTypeStateIssuer
A95171OtherCAMEDICAL LICENSE NUMBER
1225094469OtherBLUE CROSS
1225094469MedicaidCA
1225094469OtherBLUE SHIELD

Other names 1

  • Promila Promila Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060914000611 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2264436740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Docs Medical Group IncGroup PAC ID 9931112075, 12 clinicians

Practice addresses (Care Compare)

2145 Court St
Redding, CA 96001-2531
Phone (530) 247-1425

2147 Court St
Redding, CA 96001-2531
Phone (530) 243-8667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95171CAMDClinical Social Worker
A95171CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Medical Group Inc Hematology & Oncology CurrentSince Mar 1, 2011 Accepting new patients
Shasta Regional Medical Center, LLC Past Accepting new patients

Locations

1825 Sonoma St
Redding, CA 96001
Phone (530) 243-8667

2145 Court St
Redding, CA 96001
Phone (530) 243-7030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFDAA/Endpoint/IBFDAA

Organizations & group practices 3

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 6

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1225094469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994190",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960994190",
            "telephone_number": "530-247-1425",
            "fax_number": "530-247-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012531",
            "telephone_number": "530-247-1425",
            "fax_number": "530-247-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANUKA",
        "first_name": "PROMILA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A95171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A95171",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1225094469",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225094469",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1225094469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PROMILA",
            "last_name": "PROMILA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.