Active NPI
Kajal Prem Dhawan, FNP-BC
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906954
- Practice address
- 1501 Biscayne Blvd
Miami, FL 33132-1449 - Phone
- (877) 870-0323
- Fax
- (866) 427-3798
- NPI assigned
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 906954 | MS | Primary |
Addresses
Primary practice location
1501 Biscayne Blvd
Miami, FL 33132-1449
Mailing address
3425 Wisconsin Ave Apt 24
Vicksburg, MS 39180-5345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
907 Hwy 49 S
Richland, MS 39218-9407
Phone (601) 374-5263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906954 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current | Accepting new patients |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| Ig Health and Wellness | Past | Accepting new patients |
Locations
760 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 748-7270
1050 Highway 98 Byp
Columbia, MS 39429
Phone (601) 522-2095
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
533 Lake St
Hazlehurst, MS 39083
Phone (601) 533-5253
1038 Northwest Ave
McComb, MS 39648
Phone (601) 730-7012
508 Highway 61 N
Natchez, MS 39120
Phone (601) 861-1631
907 Highway 49 S
Richland, MS 39218
Phone (601) 374-5263
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Clinic/Center
- Pembroke Pines, FL
- NPI 1245017623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1548087141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 WISCONSIN AVE APT 24",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391805345",
"fax_number": "866-427-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 BISCAYNE BLVD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331321449",
"telephone_number": "877-870-0323",
"fax_number": "866-427-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHAWAN",
"first_name": "KAJAL",
"middle_name": "PREM",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.