Individual provider Active NPI

Pamneet Dhillon

  • Family Nurse Practitioner
  • Malvern, PA
National Provider Identifier
1427828615
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029012 Issued in PA
Practice address
74 E Swedesford Rd
Malvern, PA 19355-1488
Phone
(484) 324-0695
NPI assigned
Jan 8, 2024
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP029012 PA Primary

Addresses

Primary practice location

74 E Swedesford Rd
Malvern, PA 19355-1488

Mailing address

74 E Swedesford Rd
Malvern, PA 19355-1488

Other practice location 1

333 SE 2nd Ave Ste 2000
Miami, FL 33131-2185
Phone (650) 761-4056

Other practice location 2

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066
Phone (650) 761-4056

Other identifiers 1

IdentifierTypeStateIssuer
95029575OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240610001624 PA Practitioner - Nurse Practitioner 4880136555
I20250508000418 CA Practitioner - Nurse Practitioner 4880136555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dreem Sleep Clinic of CaliforniaGroup PAC ID 1456744598, 32 clinicians

Practice addresses (Care Compare)

611 Gateway Blvd
Suite 120
South San Francisco, CA 94080-7066
Phone (650) 761-4056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dreem Sleep Clinic of California CurrentSince May 5, 2025 Accepting new patients

Locations

611 Gateway Blvd
Ste 120
South San Francisco, CA 94080
Phone (650) 480-6023

121 W 36th St
#237
New York, NY 10018
Phone (650) 761-4056

Interoperability endpoints

  • Direct secure messaging: pamneet.dhillon.1@24969.direct.athenahealth.com

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1427828615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 E SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551488",
            "telephone_number": "484-324-0695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 SE 2nd Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331312185",
            "country_code": "US",
            "telephone_number": "650-761-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Gateway Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940807066",
            "country_code": "US",
            "telephone_number": "650-761-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "PAMNEET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "95029575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.