Active NPI
Michelle Dalal, M.D.
- Pediatrics Physician
- Uxbridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 218584
- Practice address
- 281 E Hartford Ave
Uxbridge, MA 01569-1278 - Phone
- (508) 278-5573
- Fax
- (508) 278-0347
- NPI assigned
- Apr 26, 2006
- Last updated
- Aug 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 218584 | MA | Primary |
Addresses
Primary practice location
281 E Hartford Ave
Uxbridge, MA 01569-1278
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018560 | Medicaid | MA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Pediatrics | Current | Accepting new patients |
Locations
101 Cedar St
Milford, MA 01757
Phone (508) 634-5000
1400 Worcester St
Natick, MA 01760
Phone (508) 595-2700
366 Shrewsbury St
Worcester, MA 01604
Phone (508) 595-2700
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529
Interoperability endpoints
- michelle.dalal.npi1407812431.reliant@direct.optumcare.masshiway.net
Organizations & group practices 1
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": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1407812431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 E HARTFORD AVE",
"city": "UXBRIDGE",
"state": "MA",
"postal_code": "015691278",
"telephone_number": "508-278-5573",
"fax_number": "508-278-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALAL",
"first_name": "MICHELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "218584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018560",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Uxbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.