Individual provider Active NPI

Pranab Dahal, M.B.B.S

  • Psychiatry Physician
  • East Meadows, NY
National Provider Identifier
1235704909
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD223638 Issued in OR
Practice address
2201 Hempstead Turnpike
East Meadows, NY 11554
Phone
(516) 572-0123
NPI assigned
May 25, 2021
Reactivated
Feb 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD223638 OR Primary

Addresses

Primary practice location

2201 Hempstead Turnpike
East Meadows, NY 11554

Mailing address

2201 Hempstead Turnpike
East Meadows, NY 11554
Phone (516) 572-0123

Other practice location 1

1200 Hilyard St
Eugene, OR 97401-8122
Phone (458) 205-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250703001249 OR Practitioner - Psychiatry 3375056138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Eugene, OR 97401-8122
Phone (458) 205-6011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD223638ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Psychiatry CurrentSince Jul 22, 2025 Accepting new patients
Peacehealth Medical Group CurrentSince Jul 22, 2025 Accepting new patients

Locations

1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
Ste 460
Eugene, OR 97401
Phone (458) 205-6566

Interoperability endpoints

  • Direct secure messaging: pdahal765569@direct.peacehealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1235704909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TURNPIKE",
            "city": "EAST MEADOWS",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-572-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TURNPIKE",
            "city": "EAST MEADOWS",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-572-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Hilyard St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018122",
            "country_code": "US",
            "telephone_number": "458-205-6555",
            "fax_number": "458-205-6570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHAL",
        "first_name": "PRANAB",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "deactivation_date": "2022-11-14",
        "reactivation_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD223638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadows, NY

Sources for this page

Verify at the official NPI Registry.