NPIMap

Individual provider Active NPI

Ashraf Saad Dwal, MD

  • Nephrology Physician
  • Gulfport, MS
National Provider Identifier
1689088403
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
32067 Issued in MS
Practice address
4300B W Railroad St
Gulfport, MS 39501-2568
Phone
(228) 863-7393
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 64066 CT
Internal Medicine Physician 207R00000X 310224 LA
Hospitalist Physician 208M00000X 310224 LA
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 32067 MS Primary

Addresses

Primary practice location

4300B W Railroad St
Gulfport, MS 39501-2568

Mailing address

80 Seymour St
Hartford, CT 06102-8000
Phone (718) 818-2419

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Other practice location 2

80 Seymour St
Hartford, CT 06102-8000
Phone (718) 818-2419

Other practice location 3

355 Bard Ave Dept Of
Villa Bldg 1st Floor
Staten Island, NY 10310
Phone (718) 818-2419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180906003347 LA Practitioner - Nephrology 6103192588 Reassigns benefits to 2 organizations
I20230828001820 MS Practitioner - Nephrology 6103192588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4300 B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-5705

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32067MSMDNephrology Physician
310224LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Sep 21, 2022 Accepting new patients
D'Iberville Home Program, LLC CurrentSince Aug 11, 2023 Accepting new patients
South Mississippi Nephrology, PLLC Nephrology CurrentSince Aug 11, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Dec 13, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Dec 13, 2022 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

14215 Cook Rd
Biloxi, MS 39532
Phone (228) 872-0516

4300B W Railroad St
Gulfport, MS 39501
Phone (228) 863-5705

4300 W Railroad St
#A
Gulfport, MS 39501
Phone (228) 864-0009

Interoperability endpoints

  • Direct secure messaging: adwal@direct.mhg.com
  • Direct secure messaging: adwal911174@direct.ochsner.org
  • Direct secure messaging: ashraf.dwal@xdr.hhchealthdirect.org

Organizations & group practices 6

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 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1689088403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "718-818-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012568",
            "telephone_number": "228-863-7393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 SEYMOUR ST",
            "address_purpose": "LOCATION",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "718-818-2419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Bard Ave Dept Of",
            "address_2": "Villa Bldg 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "10310",
            "country_code": "US",
            "telephone_number": "718-818-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWAL",
        "first_name": "ASHRAF",
        "middle_name": "SAAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "64066",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "310224",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "310224",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "32067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.