Individual provider Active NPI

Simarjit K. Dhaliwal, MD

  • Nephrology Physician
  • Brentwood, TN
National Provider Identifier
1255485900
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A95670 Issued in CA
Practice address
5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone
(855) 212-2273
NPI assigned
Jan 22, 2007
Last updated
Oct 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A95670 CA Primary
Nephrology Physician 207RN0300X 67956 TN

Addresses

Primary practice location

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone (855) 212-2273

Other practice location 1

2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-4525

Other identifiers 1

IdentifierTypeStateIssuer
Q086387MedicaidTN

Other names 1

  • Simar K Dhaliwal Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL, LA, TN, MS, MI, OH, GA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20070529000367 CA Practitioner - NephrologyPractitioner - Internal Medicine 2264539188 Reassigns benefits to 2 organizations
I20230410000561 AL Practitioner - Nephrology 2264539188 Reassigns benefits to 1 organization
I20230627000189 LA Practitioner - NephrologyPractitioner - Internal Medicine 2264539188 Reassigns benefits to 1 organization
I20230808000739 TN Practitioner - NephrologyPractitioner - Internal Medicine 2264539188 Reassigns benefits to 1 organization
I20241113003607 MS Practitioner - Nephrology 2264539188 Reassigns benefits to 1 organization
I20241119003852 MI Practitioner - Nephrology 2264539188 Reassigns benefits to 1 organization
I20241217000926 OH Practitioner - Nephrology 2264539188 Reassigns benefits to 1 organization
I20250102002575 GA Practitioner - Internal MedicinePractitioner - Nephrology 2264539188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-0411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.19 of 100Reported as group
Quality
62.26
Promoting interoperability
100
Improvement activities
40
Cost
68.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95670CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Oct 20, 2010 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Mar 24, 2023 Accepting new patients
East Bay Nephrology Medical Group, Inc. Nephrology Current Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Nov 4, 2024 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Oct 28, 2024 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Mar 24, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 20, 2010 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Jun 9, 2023 Accepting new patients
East Bay Nephrology Medical Group, Inc. Nephrology CurrentSince Jun 8, 2024 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

125 Hospital Dr
Vallejo, CA 94589
Phone (707) 642-7510

127 Hospital Dr
Ste 204
Vallejo, CA 94589
Phone (707) 642-7510

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 704-4342

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

470 Olde Worthington Rd
Ste 200
Westerville, OH 43082
Phone (614) 340-7587

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: simar.dhaliwal.1@6134.direct.athenahealth.com
  • Direct secure messaging: simarjit.dhaliwal.1@22854.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791676800000",
    "number": "1255485900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "855-212-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "855-212-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2905 Telegraph Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052017",
            "country_code": "US",
            "telephone_number": "510-841-4525",
            "fax_number": "510-848-9970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "SIMARJIT",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-10-11",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A95670",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "67956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q086387",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7373 West Ln",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952103377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SIMAR",
            "last_name": "DHALIWAL",
            "middle_name": "K",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.