Individual provider Active NPI

Paldeep Singh Atwal, MD

  • Clinical Genetics (M.D.) Physician
  • West Palm Beach, FL
National Provider Identifier
1518201243
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
0101281948 Issued in VA
Practice address
515 N Flagler Dr Ste 350
West Palm Beach, FL 33401-4349
Phone
(904) 364-9985
Fax
(650) 897-5097
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X ME123116 FL
Clinical Genetics (M.D.) Physician 207SG0201X Q2508 TX
Clinical Biochemical Genetics Physician 207SG0202X ME123116 FL
Medical Biochemical Genetics 207SG0207X 0101281948 VA
Clinical Genetics (M.D.) Physician 207SG0201X 0101281948 VA Primary

Addresses

Primary practice location

515 N Flagler Dr Ste 350
West Palm Beach, FL 33401-4349

Mailing address

515 N Flagler Dr Ste 350
West Palm Beach, FL 33401-4349
Phone (904) 364-9985

Other practice location 1

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-2467

Other practice location 2

1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467

Other practice location 3

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-2467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 17, 2019 through Dec 17, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101281948VAMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atwell Longevity Institute LLC Current Accepting new patients
MCV Associated Physicians Past Accepting new patients
Atwal Clinic LLC Clinical Genetics (M.D.) PastSince Sep 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patwalmd255153@carlehiedirect.net

Organizations & group practices 3

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1518201243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N FLAGLER DR STE 350",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014349",
            "telephone_number": "904-364-9985",
            "fax_number": "650-897-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N FLAGLER DR STE 350",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014349",
            "telephone_number": "904-364-9985",
            "fax_number": "650-897-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E Leigh St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985004",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-828-7094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191930",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-828-7094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-828-7094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWAL",
        "first_name": "PALDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "FL",
            "license": "ME123116",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "TX",
            "license": "Q2508",
            "primary": false
        },
        {
            "code": "207SG0202X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": "FL",
            "license": "ME123116",
            "primary": false
        },
        {
            "code": "207SG0207X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Medical Biochemical Genetics",
            "state": "VA",
            "license": "0101281948",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "VA",
            "license": "0101281948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.