NPIMap

Individual provider Active NPI

Dikshya Hamal, M.B.B.S

  • Internal Medicine Physician
  • Raeford, NC
National Provider Identifier
1619426624
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2019-02835 Issued in NC
Practice address
300 Medical Pavilion Dr Ste 150
Raeford, NC 28376-0030
Phone
(910) 904-8025
Fax
(910) 615-9751
NPI assigned
Oct 3, 2016
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 2019-02835 NC Primary

Addresses

Primary practice location

300 Medical Pavilion Dr Ste 150
Raeford, NC 28376-0030

Mailing address

1650 Grand Concourse
Bronx, Ny
Bronx, NY 10457-7606
Phone (718) 960-1234

Other practice location 1

1650 Grand Concourse
bronx, ny
Bronx, NY 10457-7606
Phone (718) 960-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200410000792 NC Practitioner - Internal Medicine 8729417852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoke Healthcare LLCGroup PAC ID 1153569405, 7 clinicians

Practice addresses (Care Compare)

300 Medical Pavilion Dr
Suite 150
Raeford, NC 28376-0030
Phone (910) 904-8025

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Healthcare, LLC Current Accepting new patients
Hoke Healthcare LLC CurrentSince Feb 8, 2020 Accepting new patients
Hoke Healthcare, LLC CurrentSince Feb 8, 2020 Accepting new patients

Locations

300 Medical Pavilion Dr
#15
Raeford, NC 28376
Phone (910) 904-8020

300 Medical Pavilion Dr
Ste 150
Raeford, NC 28376
Phone (910) 904-8020

Interoperability endpoints

  • Direct secure messaging: hdikshya77194@capefearvalley.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1619426624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "address_2": "BRONX, NY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-960-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PAVILION DR STE 150",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760030",
            "telephone_number": "910-904-8025",
            "fax_number": "910-615-9751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Grand Concourse",
            "address_2": "bronx, ny",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577606",
            "country_code": "US",
            "telephone_number": "718-960-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMAL",
        "first_name": "DIKSHYA",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-02835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.