Active NPI
Kunal Sanjay Dalal, M.D.
- Gastroenterology Physician
- Wilmington, NC
National Provider Identifier
1497065338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2016-00612
- Practice address
- 5115 Oleander Dr
Wilmington, NC 28403-7018 - Phone
- (910) 362-1011
- NPI assigned
- Oct 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125058477 | IL | |
| Gastroenterology Physician | 207RG0100X | 2016-00612 | NC | Primary |
Addresses
Primary practice location
5115 Oleander Dr
Wilmington, NC 28403-7018
Mailing address
5115 Oleander Dr
Wilmington, NC 28403-7018
Phone (910) 362-1011
Other practice location 1
5841 S Maryland Ave
Chicago, IL 60637-1447
Phone (773) 702-6891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160810001595 | NC | Practitioner - Gastroenterology | 8820382070 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Wayne State University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wilmington Gastroenterology Associates, PA
Practice addresses (Care Compare)
5115 Oleander Dr
Wilmington, NC 28403-7018
Phone (910) 362-1011
Hospital & facility affiliations
- Columbus Regional Healthcare System
- Novant Health New Hanover Regional Medical Center
- J Arthur Dosher Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 127 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 159 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125058477 | IL | MD | Internal Medicine Physician |
| 2016-00612 | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Gastroenterology Associates,PA | Single Specialty | Current | Accepting new patients |
Locations
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
Interoperability endpoints
- kunal.dalal.1@14070.direct.athenahealth.com
- kdalal1690502@direct.novanthealth.org
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Wilmington, NC
- NPI 1922040419
NC, Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1295948339
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
Hospital
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497065338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 OLEANDER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037018",
"telephone_number": "910-362-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 OLEANDER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037018",
"telephone_number": "910-362-1011"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371447",
"country_code": "US",
"telephone_number": "773-702-6891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALAL",
"first_name": "KUNAL",
"middle_name": "SANJAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125058477",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2016-00612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- 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.