NPIMap

Individual provider Active NPI

Niloofer Dalal, MD

  • Anesthesiology Physician
  • Marietta, GA
National Provider Identifier
1578526166
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
056537 Issued in GA
Practice address
3043 Tuscany Park Dr
Marietta, GA 30068-5313
Phone
(770) 321-0836
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 056537 GA Primary

Addresses

Primary practice location

3043 Tuscany Park Dr
Marietta, GA 30068-5313

Mailing address

3043 Tuscany Park Dr
Marietta, GA 30068-5313
Phone (770) 321-0836

Other identifiers 1

IdentifierTypeStateIssuer
137470613AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000443 GA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1557329349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Jun 11, 2019 Accepting new patients
Emory Specialty Associates, LLC Anesthesiology CurrentSince Sep 1, 2008 Accepting new patients
Tri-County Anesthesia, LLC Anesthesiology Past Accepting new patients
Newnan Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Norcross MC Inc Past Accepting new patients
Cobb Anesthesia, PC Anesthesiology Past Accepting new patients
Decatur Medical Group LLC Past Accepting new patients
Prime Care LLC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880

7813 Spivey Station Blvd
Jonesboro, GA 30236
Phone (404) 251-2270

Interoperability endpoints

  • Direct secure messaging: ndalal36905@direct.emory.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1578526166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 TUSCANY PARK DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685313",
            "telephone_number": "770-321-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 TUSCANY PARK DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685313",
            "telephone_number": "770-321-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "NILOOFER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "056537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137470613A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.