Individual provider Active NPI

Reman Dhaliwal, DPM

  • Podiatrist
  • Colonial Heights, VA
National Provider Identifier
1508006495
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301046 Issued in VA
Practice address
524 Southpark Blvd
Colonial Heights, VA 23834
Phone
(804) 504-7980
Fax
(804) 554-5387
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01520 MD
Podiatrist 213E00000X 0103301046 VA Primary

Addresses

Primary practice location

524 Southpark Blvd
Colonial Heights, VA 23834

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

3806 Mechanicsville Turnpike
JenCare Neighborhood Medical East Richmond, LLC
Richmond, VA 23223-1114
Phone (804) 228-1143

Other practice location 2

3806 Mechanicsville Turnpike
JenCare Neighborhood Medical East Richmond, LLC
Richmond, VA 23223-1114
Phone (804) 228-1143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000296 VA Practitioner - Podiatry 5294907564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Associated Podiatrists, Inc Podiatrist PastSince Jul 1, 2016 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

6550 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

6530 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425

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.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1508006495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-504-7980",
            "fax_number": "804-554-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3806 Mechanicsville Turnpike",
            "address_2": "JenCare Neighborhood Medical East Richmond, LLC",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232231114",
            "country_code": "US",
            "telephone_number": "804-228-1143",
            "fax_number": "804-228-7382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3806 Mechanicsville Turnpike",
            "address_2": "JenCare Neighborhood Medical East Richmond, LLC",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232231114",
            "country_code": "US",
            "telephone_number": "804-228-1143",
            "fax_number": "804-228-7382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "REMAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01520",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.