Individual provider Active NPI

Jagdish K Dhingra, M.D.

  • Otolaryngology Physician
  • Brockton, MA
National Provider Identifier
1275557738
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
213462 Issued in MA
Practice address
35 Pearl St Ste 100
Brockton, MA 02301-1195
Phone
(508) 588-8034
Fax
(508) 588-5969
NPI assigned
Jul 27, 2006
Last updated
May 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 213462 MA Primary
Diagnostic Ultrasound Physician 2085U0001X 213462 MA

Addresses

Primary practice location

35 Pearl St Ste 100
Brockton, MA 02301-1195

Mailing address

35 Pearl St Ste 100
Brockton, MA 02301-1195
Phone (508) 588-8034

Other identifiers 1

IdentifierTypeStateIssuer
0195197MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20091216000618 MA Practitioner - Otolaryngology 2860578655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
ENT Specialists, IncGroup PAC ID 0648353888, 20 clinicians

Practice addresses (Care Compare)

188 Washington St
Plainville, MA 02762-1301
Phone (508) 699-1701

35 Pearl St
Brockton, MA 02301-2866
Phone (508) 588-8034

825 Washington St
Suite 310
Norwood, MA 02062-3481
Phone (781) 769-8910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213462MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Norwood LLC Otolaryngology CurrentSince Nov 1, 2018 Accepting new patients
ENT Specialists, Inc Otolaryngology CurrentSince Jun 15, 2002 Accepting new patients

Locations

35 Pearl St
Ste 100
Brockton, MA 02301
Phone (508) 588-8034

35 Pearl St
Ste 200
Brockton, MA 02301
Phone (508) 588-8034

825 Washington St
Ste 310
Norwood, MA 02062
Phone (508) 880-3460

188 Washington St
Plainville, MA 02762
Phone (508) 699-1701

72 Washington St
Ste 1600
Taunton, MA 02780
Phone (508) 880-3460

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1275557738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011195",
            "telephone_number": "508-588-8034",
            "fax_number": "508-588-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011195",
            "telephone_number": "508-588-8034",
            "fax_number": "508-588-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHINGRA",
        "first_name": "JAGDISH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "213462",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MA",
            "license": "213462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195197",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.