Active NPI
Navdeep Dhaliwal, M.D.
- Internal Medicine Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60702340
- Practice address
- 1415 E Kincaid St Dept of
Mount Vernon, WA 98274-4126 - Phone
- (360) 424-4111
- NPI assigned
- Jun 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60702340 | WA | Primary |
Addresses
Primary practice location
1415 E Kincaid St Dept of
Mount Vernon, WA 98274-4126
Mailing address
1415 E Kincaid St Dept of
Mount Vernon, WA 98274-4126
Phone (360) 424-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MI, IN, IL, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170628002395 | WA | Practitioner - Internal Medicine | 9830488071 | Reassigns benefits to 4 organizations |
| I20210107000383 | MI | Practitioner - Internal Medicine | 9830488071 | Reassigns benefits to 3 organizations |
| I20240325001500 | IN | Practitioner - Internal Medicine | 9830488071 | Reassigns benefits to 2 organizations |
| I20240521002796 | IL | Practitioner - Internal Medicine | 9830488071 | Reassigns benefits to 2 organizations |
| I20251027001572 | OK | Practitioner - Internal Medicine | 9830488071 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- South Sound Inpatient Physicians PLLCPost Acute Medical PLLCAltea Medical Illinois PLLC
Practice addresses (Care Compare)
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111
1500 Spring St
Petoskey, MI 49770-9295
Phone (888) 408-7008
2350 Taft St
Gary, IN 46404-3349
Phone (877) 883-9430
3354 Jerome LN
Cahokia, IL 62206-2604
Phone (775) 287-3290
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000
6220 S Alaska St
Tacoma, WA 98408-1317
Phone (877) 883-9430
848 W Orchard Dr
Bellingham, WA 98225-1758
Phone (855) 722-9700
901 N 10TH St
Mascoutah, IL 62258-1017
Phone (877) 883-9430
Hospital & facility affiliations
- BJC Hospice
- Heartland Hospice (Fairview Heights)
- Unity Hospice of Greater St Louis
- Memorial Hospital
- Alton Memorial Hospital
- Missouri Baptist Medical Center
- Nexus at Columbia
- Bria of Belleville
- North Cascades Health and Rehabilitation
- Nexus at Alton
- Bria of Cahokia
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.42 of 100
- Quality
- 55.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Altea Medical Indiana PC | Internal Medicine | Current | Accepting new patients |
| Altea Medical Washington PLLC | Internal Medicine | Current | Accepting new patients |
| Altea Medical Maryland LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Washington, PC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Altea Medical Oklahoma PLLC | Internal Medicine | Current | Accepting new patients |
| Altea Medical Michigan PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California - San Leandro, PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California-San Bernardino, PC | Internal Medicine | Current | Accepting new patients |
| Post Acute Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Altea Medical Illinois PLLC | Internal Medicine | Current | Accepting new patients |
| Bellingham North of Cascadia, LLC | Past | Accepting new patients | |
| Gardens on University- Spokane Valley, LLC | Past | Accepting new patients | |
| Bellingham South of Cascadia, LLC | Past | Accepting new patients | |
| Franklin Hills Health - Spokane LLC | Past | Accepting new patients | |
| Soundview Rehabilitation and Health Care, Inc. | Past | Accepting new patients | |
| Atrium Health Care & Rehabilitation Center of Cahokia L.P | Past | Accepting new patients | |
| Winston SNF Operations LLC | Past | Accepting new patients | |
| North Cascades SNF Operations, LLC | Past | Accepting new patients | |
| Blaine of Cascadia LLC | Past | Accepting new patients | |
| Soundview Rehabilitation and Health Care, Inc. | Past | Accepting new patients | |
| Bria of Godfrey LP | Past | Accepting new patients | |
| Spokane Falls Care LLC | Past | Accepting new patients | |
| North Central Care Center, Inc. | Past | Accepting new patients | |
| Skagit Valley Operations, LLC | Past | Accepting new patients | |
| St. Francis Operations, LLC | Past | Accepting new patients |
Locations (25 of 31)
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
253 Bradington Dr
Columbia, IL 62236
Phone (618) 218-6800
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
7733 W Grand Ave
Elmwood Park, IL 60707
Phone (708) 452-9200
1101 E State St
Geneva, IL 60134
Phone (630) 208-1876
901 N 10th St
Mascoutah, IL 62258
Phone (618) 556-2183
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
727 N 17th St
Swansea, IL 62226
Phone (618) 234-3323
101 E Via Ghiglieri
Toluca, IL 61369
Phone (815) 452-2367
2350 Taft St
Gary, IN 46404
Phone (219) 944-2677
3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667
1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211
1500 Spring St
Petoskey, MI 49770
Phone (231) 344-6600
23600 Northline Rd
Taylor, MI 48180
Phone (734) 287-2840
9905 S Pennsylvania Ave
Ste A
Oklahoma City, OK 73159
Phone (405) 394-5298
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
1105 27th St
Anacortes, WA 98221
Phone (360) 293-3174
330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
7024 Evergreen Way
Everett, WA 98203
Interoperability endpoints
- ndhaliwal16981@skagit.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 12
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Life Care Center of Skagit Valley | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Dec 14, 2022 Mar 20, 2025 |
| Bria of Cahokia | Skilled nursing facility | Adp of the SNF | Dec 18, 2024 |
| Bria Health Services of Belleville | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
| Bria of Palos Hills | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
| Bria of Mascoutah LP | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
| Highland Health and Rehabilitation of Cascadia | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 9, 2023 Feb 14, 2025 |
| Alderwood Park Health and Rehabilitation of Cascadia | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 9, 2023 Feb 14, 2025 |
| Bria of Columbia LP | Skilled nursing facility | W-2 Managing Employee Adp of the SNF |
Jan 1, 2024 Jan 6, 2025 |
| Bria of Woodriver LP | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
| Bria of Alton LP | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
| Belleville Healthcare Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
| Bria of Godfrey LP | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
Owned or controlled facilities with NPI records 12
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Bellingham, WA
- NPI 1467111807
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Bellingham, WA
- NPI 1811656259
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Sedro Woolley, WA
- NPI 1790730091
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Cahokia, IL
- NPI 1588847750
Adp of the SNF
-
- Skilled Nursing Facility
- Belleville, IL
- NPI 1952398414
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Belleville, IL
- NPI 1396475869
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Alton, IL
- NPI 1497485965
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Columbia, IL
- NPI 1407586977
Adp of the SNF, W-2 Managing Employee
-
- Skilled Nursing Facility
- Godfrey, IL
- NPI 1861122335
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Mascoutah, IL
- NPI 1891454872
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Wood River, IL
- NPI 1023748597
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Palos Hills, IL
- NPI 1508170291
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 28
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Internal Medicine, WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
IL, Internal Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL, IN, Internal Medicine, MI, WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
Internal Medicine, WA
-
- Internal Medicine Physician
- Mount Vernon, WA
- NPI 1689210874
Internal Medicine, WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Gary, IN
- NPI 1992584783
IN, Internal Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Westminster, MD
- NPI 1770301277
Internal Medicine, MI
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth, MI
- NPI 1053142000
Internal Medicine, MI
-
- Geriatric Medicine (Internal Medicine) Physician
- Oklahoma City, OK
- NPI 1750105946
Internal Medicine, OK
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
Internal Medicine
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1861430522
Internal Medicine
-
- Internal Medicine Physician
- Burien, WA
- NPI 1366741290
Internal Medicine
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Bellingham, WA
- NPI 1891409066
Nursing home
-
- Skilled Nursing Facility
- Cahokia, IL
- NPI 1588847750
Nursing home
-
- Skilled Nursing Facility
- Belleville, IL
- NPI 1952398414
Nursing home
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
Hospital
-
- Community Based Hospice Care Agency
- Collinsville, IL
- NPI 1245319367
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1477968337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 E KINCAID ST DEPT OF",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744126",
"telephone_number": "360-424-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E KINCAID ST DEPT OF",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744126",
"telephone_number": "360-424-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALIWAL",
"first_name": "NAVDEEP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60702340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.