Amardeep Dhaliwal, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD61316125 Issued in WA

Practice address

10803 SE Kent Kangley Rd Ste 103
Kent, WA 98030-7194

Phone

(206) 800-3445

Fax

(206) 485-2946

NPI assigned

Apr 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Pittsburgh School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Medical Center Hospital, Renton, WA, CCN 500088

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dhaliwal Medical Associates PLLC

  dba Washington Vital Vision

  • Ophthalmology Physician
  • Kent, WA
  • NPI 1528770062
  Medicare reassignment NPD Authorized official
• Pinnacle Health PLLC

  • Internal Medicine Physician
  • Carnation, WA
  • NPI 1366362113

  Ophthalmology

  NPD (past) Authorized official
• Burt a Ginsburg MD PA

  • Specialist
  • Houston, TX
  • NPI 1326319518
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Public Hospital District 1 of King County

  dba Valley Medical Center

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1649209230
  Care Compare affiliation
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1568826949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 SE KENT KANGLEY RD STE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307194",
            "telephone_number": "206-800-3445",
            "fax_number": "206-485-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 SE KENT KANGLEY RD STE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307194",
            "telephone_number": "206-800-3445",
            "fax_number": "206-485-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "AMARDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61316125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2258765",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Nicolina Detch
• Tara Dewaele, COTA/L
• Deborah Louise Deweber, M.A., L.M.H.C
• Dhaliwal Medical Associates PLLC (Washington Vital Vision)
• Dhaliwal Optometry PLLC
• Dhaliwal, DDS, PLLC
• Manpreet Singh Dhaliwal, DDS
• Navdeep Dhaliwal, DDS
• Ramanpreet Dhaliwal
• Upkar Dhaliwal, OD

• Ophthalmology Physician in Kent, WA
• Providers in Kent, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.
• 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.

Verify at the official NPI Registry.