Active NPI
Mohan DS Dhillon, MD
- Allergy & Immunology Physician
- Vestal, NY
National Provider Identifier
1649379652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 1861771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01274928 | Medicaid | NY |
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
Enrollment records 1
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.41 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1861771 | NY | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Consultants PC | Allergy & Immunology | Current | Accepting new patients |
Locations
4104 Vestal Rd
Ste 108
Vestal, NY 13850
Phone (607) 729-0726
Interoperability endpoints
- mdhillon@hiemail.healtheconnections.org
- 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.
-
- Allergy & Immunology Physician
- Vestal, NY
- NPI 1326198961
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.