Sunil S Dhawan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G53340 Issued in CA

Practice address

2557 Mowry Ave
Ste 34
Fremont, CA 94538

Phone

(510) 797-4111

Fax

(510) 797-3320

NPI assigned

Jan 25, 2006

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Dermatology

Education

University of Southern California Keck School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Bay Dermatology Medical Group Inc.Group PAC ID 2466515580, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score

97.67 of 100Reported as group

Quality

85.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dr.dhawan@centerforderm.emadirect.md
• Direct secure messaging: sdhawan@directaddress.net

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.

• East Bay Dermatology Medical Group Inc

  dba Center for Dermatology Cosmetic & Laser Surgery

  • Dermatology Physician
  • Fremont, CA
  • NPI 1447220215
  Medicare reassignment Care Compare group NPD Authorized official
• East Bay Dermatology Medical Group Inc.

  dba Center For Dermatology Cosmetic and Laser Surgery

  • Specialist
  • Milpitas, CA
  • NPI 1467640284
  NPD Authorized official
• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1154472058
  NPD (past)
• National Specialty Pharmacy LLC

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1740694413
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Washington Township Hospital District

  dba Washington Hospital

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1326018987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "STE 34",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-797-4111",
            "fax_number": "510-797-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "STE 34",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-797-4111",
            "fax_number": "510-797-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "SUNIL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G53340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BF280Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB367",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karamjit K Dhaliwal, FNP
• Kiruthika Dhandapani
• Janifer Dhanoa, FNP
• Kanchan Hundraj Dharma, DMD
• Neelam Dharod Dharod
• Aneet Dhillon
• Ramandeep Dhillon, DOT
• Puneet Dhingra, OTR/L
• Lori Jane Di Dio, P.T.
• Alexandra Rheta Di Martino, MS CCC-SLP

• Dermatology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.