Avninder Singh Dhaliwal, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301078429 Issued in MI

Practice address

26850 Providence Pkwy
Suite 240
Novi, MI 48374-1213

Phone

(248) 697-2822

Fax

(888) 443-3187

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Ophthalmology

Education

University of Michigan Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novi Ophthalmology, PCGroup PAC ID 3072731405, 3 clinicians

Steven S. Zeldes MD PCGroup PAC ID 3173615614, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adhaliwal310920@direct.hfhs.org
• Direct secure messaging: adhaliwal1125144@direct.hfhs.org
• Direct secure messaging: avninder.dhaliwal.1@2495.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2495/brand/1/csg/1/fhir/r4

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.

• Novi Ophthalmology, PC

  • Ophthalmology Physician
  • Livonia, MI
  • NPI 1508274663
  Medicare reassignment Care Compare group NPD Authorized official
• Steven S. Zeldes MD PC

  • Ophthalmology Physician
  • West Bloomfield, MI
  • NPI 1861523334
  Medicare reassignment Care Compare group NPD
• Comorin Kidneycare PLLC

  • Nephrology Physician
  • Livonia, MI
  • NPI 1528480365
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1669417408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WOODLAND PL",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701534",
            "telephone_number": "248-534-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 240",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-697-2822",
            "fax_number": "888-443-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "AVNINDER",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301078429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Jean Dewar
• Coleen C Dewitt, D.O.
• Julie Dewitt
• Lindsie A Dey
• Wendi Deyoung
• Sajeeta Dhungana
• Justin Di Rezze
• Amina Diakite
• Frances Dial
• Diane Galper and Associates OD PC

• Ophthalmology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.

Verify at the official NPI Registry.