Active NPI
Paldeep Singh Atwal, MD
- Clinical Genetics (M.D.) Physician
- West Palm Beach, FL
National Provider Identifier
1518201243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 0101281948
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101281948 | VA | MD | Clinical Genetics (M.D.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atwell Longevity Institute LLC | Current | Accepting new patients | |
| MCV Associated Physicians | Past | Accepting new patients | |
| Atwal Clinic LLC | Clinical Genetics (M.D.) | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Public Health & General Preventive Medicine Physician
- Palm Beach, FL
- NPI 1447127089
-
- Clinical Genetics (M.D.) Physician
- West Palm Beach, FL
- NPI 1487216602
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.