Individual provider Active NPI

Himanshu Harihar Paliwal, MD

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1285808048
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202102956 Issued in NC
Practice address
3808 W Gate City Blvd
Greensboro, NC 27407-4713
Phone
(336) 518-7008
Fax
(336) 540-1761
NPI assigned
Apr 14, 2008
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24127 WV
Family Medicine Physician 207Q00000X 202102956 NC Primary

Addresses

Primary practice location

3808 W Gate City Blvd
Greensboro, NC 27407-4713

Mailing address

3808 W Gate City Blvd # A1
Greensboro, NC 27407-4713
Phone (336) 518-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220728003756 NC Practitioner - Family Practice 3678761392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

2850 S Main St
Suite 104
High Point, NC 27263-1900
Phone (336) 200-7003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202102956NCMDFamily Medicine Physician
24127WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Aug 15, 2022 Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

3808 W Gate City Blvd
Ste A1
Greensboro, NC 27407
Phone (336) 518-7008

2850 S Main St
Ste 104
High Point, NC 27263
Phone (336) 200-7003

Interoperability endpoints

  • Direct secure messaging: himanshu.paliwal@mvahealth.directbygreenway.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1285808048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W GATE CITY BLVD # A1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074713",
            "telephone_number": "336-518-7008",
            "fax_number": "336-450-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W GATE CITY BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074713",
            "telephone_number": "336-518-7008",
            "fax_number": "336-540-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIWAL",
        "first_name": "HIMANSHU",
        "middle_name": "HARIHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "24127",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "202102956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.