Individual provider Active NPI

Harleen Kaur Dyal, M.D.

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1225424237
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A153255 Issued in CA
Practice address
556 Mowry Ave Ste 200
Fremont, CA 94536
Phone
(510) 796-0770
NPI assigned
Apr 7, 2015
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A153255 CA Primary

Addresses

Primary practice location

556 Mowry Ave Ste 200
Fremont, CA 94536

Mailing address

39120 Argonaut Way Ste 200
Fremont, CA 94538-1304
Phone (510) 796-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180803001579 CA Practitioner - Family Practice 0840506382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Internal Medicine Medical Associates,IncGroup PAC ID 9436186111, 2 clinicians

Practice addresses (Care Compare)

556 Mowry Ave
Suite 200
Fremont, CA 94536-4186
Phone (510) 468-1533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153255CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Internal Medicine Medical Associates,Inc Multi-Specialty CurrentSince Aug 13, 2018 Accepting new patients

Locations

160 J St
Unit 2656
Fremont, CA 94536

39120 Argonaut Way
Fremont, CA 94538
Phone (510) 796-0770

556 Mowry Ave
Ste 200
Fremont, CA 94536
Phone (510) 468-1533

Interoperability endpoints

  • Direct secure messaging: hdyal101737@direct.whhs.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1225424237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39120 ARGONAUT WAY STE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381304",
            "telephone_number": "510-796-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 MOWRY AVE STE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94536",
            "telephone_number": "510-796-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAL",
        "first_name": "HARLEEN",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A153255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.