Individual provider Active NPI

Mohan DS Dhillon, MD

  • Allergy & Immunology Physician
  • Vestal, NY
National Provider Identifier
1649379652
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
1861771 Issued in NY
Practice address
4104 Old Vestal Rd
Suite #108
Vestal, NY 13850-3554
Phone
(607) 729-0726
Fax
(607) 729-1341
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 1861771 NY Primary

Addresses

Primary practice location

4104 Old Vestal Rd
Suite #108
Vestal, NY 13850-3554

Mailing address

4182 Murphy Rd
Binghamten, NY 13903
Phone (607) 724-2346

Other identifiers 1

IdentifierTypeStateIssuer
01274928MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110526000014 NY Practitioner - Allergy/Immunology 7517143696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4104 Vestal Rd
Suite 108
Vestal, NY 13850-3554
Phone (607) 729-0726

Hospital & facility affiliations

  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1861771NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Consultants PC Allergy & Immunology CurrentSince Jul 1, 1991 Accepting new patients

Locations

4104 Vestal Rd
Ste 108
Vestal, NY 13850
Phone (607) 729-0726

Interoperability endpoints

  • Direct secure messaging: mdhillon@hiemail.healtheconnections.org
  • Direct secure messaging: mohan.dhillon@allergyandasthmaconsultant.chartmakerdirect.com

Organizations & group practices 1

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 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1649379652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 MURPHY RD",
            "city": "BINGHAMTEN",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-724-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 OLD VESTAL RD",
            "address_2": "SUITE #108",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503554",
            "telephone_number": "607-729-0726",
            "fax_number": "607-729-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "MOHAN",
        "middle_name": "DS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "1861771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01274928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.