Individual provider Active NPI

Dilip M Thakker, MD

  • Internal Medicine Physician
  • Gloversville, NY
National Provider Identifier
1225120298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
186146 Issued in NY
Practice address
10 E 9TH Ave
Gloversville, NY 12078-1629
Phone
(518) 725-6868
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 186146 NY Primary

Addresses

Primary practice location

10 E 9TH Ave
Gloversville, NY 12078-1629

Mailing address

10 E 9TH Ave
Gloversville, NY 12078-1629
Phone (518) 725-6868

Other identifiers 1

IdentifierTypeStateIssuer
01265810MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190109000101 MS Practitioner - Hospitalist 5193870699 Reassigns benefits to 5 organizations
I20240509000247 VI Practitioner - Internal Medicine 5193870699 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center Internal Medicine CurrentSince Aug 12, 2024 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Mar 31, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Aug 1, 2019 Accepting new patients
Tippah County Hospital CurrentSince Jan 18, 2021 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Hospitalist Group CurrentSince Aug 12, 2024 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Aug 12, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Aug 1, 2019 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Apr 30, 2025 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Apr 30, 2025 Accepting new patients
HH Health System - Shoals LLC Past Accepting new patients
Black River Health Inc Past Accepting new patients

Locations

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

1005 City Ave N
#A
Ripley, MS 38663
Phone (662) 837-2202

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225120298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 9TH AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781629",
            "telephone_number": "518-725-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 9TH AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781629",
            "telephone_number": "518-725-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKER",
        "first_name": "DILIP",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01265810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.