Individual provider Active NPI

Gurvinder Singh Dhaliwal, M.D.

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1588280697
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME163273 Issued in FL
Practice address
1431 NE 162ND St
North Miami Beach, FL 33162-4620
Phone
(305) 949-0999
Fax
(305) 748-6282
NPI assigned
Jun 24, 2020
Reactivated
Jun 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME163273 FL Primary

Addresses

Primary practice location

1431 NE 162ND St
North Miami Beach, FL 33162-4620

Mailing address

1431 NE 162ND St
North Miami Beach, FL 33162-4620
Phone (305) 949-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230711003140 FL Practitioner - Family Practice 7517326366 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163273FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Sep 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Aug 1, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

4715 S Florida Ave
Ste 200
Lakeland, FL 33813
Phone (863) 209-7004

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

20801 NW 2nd Ave
Miami Gardens, FL 33169

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

1431 NE 162nd St
North Miami Beach, FL 33162
Phone (305) 949-0999

Interoperability endpoints

  • Direct secure messaging: gdhaliwal17964@prd.direct.tbh.org

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1588280697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 NE 162ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624620",
            "telephone_number": "305-949-0999",
            "fax_number": "305-748-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 NE 162ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624620",
            "telephone_number": "305-949-0999",
            "fax_number": "305-748-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "GURVINDER",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME163273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.