Hardeep S Dhaliwal MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HARDEEP S DHALIWAL MD PA

Practice address

3871 Long Prairie Rd
Flower Mound, TX 75028-1569

Phone

(972) 691-4444

Fax

(972) 691-4440

NPI assigned

Oct 2, 2006

Last updated

May 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hardeep S Dhaliwal, MDNPI 1518943778

Title

President

Phone

(972) 691-4444

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hardeep S Dhaliwal, MD

  • Internal Medicine Physician
  • Flower Mound, TX
  • NPI 1518943778
  Medicare reassignment NPD Authorized official
• Sherry Lynn C. Wolf, MD

  • Internal Medicine Physician
  • Vernon, TX
  • NPI 1215980115
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1619060647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281569",
            "telephone_number": "972-691-4444",
            "fax_number": "972-691-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281569",
            "telephone_number": "972-691-4444",
            "fax_number": "972-691-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDEEP S DHALIWAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "HARDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-691-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080258901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0026AH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0026AH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Meg Hansen, M.S. CCC-SLP
• Anne Marie S Hanson, FNP-BC
• Carin Alene Hanson, RN, CPNP
• Happy Pediatric Dental of Flower Mound, PLLC
• Wasim Afzal Haque, M.D.
• David Grayson Hardin
• Harp Wellness Group
• Aleesa Harp, LPC
• Kiran Kumari Harpavat, M.D.
• Lisa Harrell

• Internal Medicine Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.