Active NPI
Dalal Hassan Elsori, M.D.
- Pediatrics Physician
- Providence, RI
National Provider Identifier
1316398571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD16626
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-6195
- Fax
- (401) 444-6378
- NPI assigned
- Jun 28, 2016
- Last updated
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 57.027791 | OH | |
| Pediatrics Physician | 208000000X | MD16626 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
Block 3 Street 307 House 82
Al Masayel
Kuwait, KUWAIT 00000
KW
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.027791 | OH | MD | Pediatrics Physician |
| MD16626 | RI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1316398571",
"addresses": [
{
"country_code": "KW",
"country_name": "Kuwait",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "BLOCK 3 STREET 307 HOUSE 82",
"address_2": "AL MASAYEL",
"city": "KUWAIT",
"state": "KUWAIT",
"postal_code": "00000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-6195",
"fax_number": "401-444-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSORI",
"first_name": "DALAL",
"middle_name": "HASSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "57.027791",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD16626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
- Elmwood Orthopedic Rehab Center, Inc.
- Radowan Ali Mahgoub Elnair, MD
- Jennifer L Elomaa, MSCCCSLP
- Mohamed Wagdy Mohamed Elsayed, MD
- Rawda Badawy Elsayed
- Michael J Eltz, PH.D.
- Susan P Emaus, PA C
- Embrace Healing Psychiatric Services, LLC
- Embracing Tomorrow Therapeutic Services LLC
- Emdr & Somatic Psychotherapies of Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.