NPIMap

Individual provider Active NPI

Rajnish Dhawan, M.D.

  • Pulmonary Disease Physician
  • Suffolk, VA
National Provider Identifier
1467478727
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101237716 Issued in VA
Practice address
1500 Breezeport Way Ste 600
Suffolk, VA 23435-3731
Phone
(757) 528-8245
Fax
(757) 394-1132
NPI assigned
Jul 13, 2006
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101237716 VA Primary
Hospitalist Physician 208M00000X 0101237716 VA

Addresses

Primary practice location

1500 Breezeport Way Ste 600
Suffolk, VA 23435-3731

Mailing address

1500 Breezeport Way Ste 600
Suffolk, VA 23435-3731
Phone (757) 528-8245

Other practice location 1

2790 Godwin Blvd Ste 235
Suffolk, VA 23434-8152
Phone (757) 528-8245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000633 VA Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5092743971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidewater Lung and Sleep Center, PLLCGroup PAC ID 7911317136, 3 clinicians

Practice addresses (Care Compare)

4113 River Park Dr
Suffolk, VA 23435-3358
Phone (757) 771-7099

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Pulmonary Disease CurrentSince Mar 1, 2021 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2790 Godwin Blvd
Ste 235
Suffolk, VA 23434
Phone (757) 528-8245

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 934-4000

Interoperability endpoints

  • Direct secure messaging: rajnish.dhawan.1@22776.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1467478727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BREEZEPORT WAY STE 600",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353731",
            "telephone_number": "757-528-8245",
            "fax_number": "757-367-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BREEZEPORT WAY STE 600",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353731",
            "telephone_number": "757-528-8245",
            "fax_number": "757-394-1132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Godwin Blvd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348152",
            "country_code": "US",
            "telephone_number": "757-528-8245",
            "fax_number": "757-394-1132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "RAJNISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101237716",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101237716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.