Sanjiv Kumar Dahal, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

31869 Issued in IA

Practice address

1215 Pleasant Street
Suite 100
Des Moines, IA 50309-1409

Phone

(515) 241-5710

Fax

(515) 241-8004

NPI assigned

Apr 11, 2006

Last updated

Jul 18, 2007By 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 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sanjivdahal@ikppc.allscriptsdirect.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.

• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Medicare reassignment NPD
• Broadlawns Medical Center

  • Pharmacy
  • Des Moines, IA
  • NPI 1013197060
  NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1376506121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT STREET",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-241-5710",
            "fax_number": "515-241-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT STREET",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-241-5710",
            "fax_number": "515-241-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHAL",
        "first_name": "SANJIV",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "31869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151878",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton Curtis
• CVK Corporation (Whylie Eye Care Centers)
• CVK Corporation (Whylie Eye Care Centers)
• Genevieve Gabriele D'Amato
• Brandy Jo Dacken, CADC
• Angela Dahl, M.P.A., A.T.C.
• Robert Charles Dahlberg, DDS
• Jennifer Dahms, DPT
• Cera Daily
• Zachary Dalhoff, DO

• Nephrology Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Nephrology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.