Individual provider Active NPI

Dean Hamid Dalili, M.D.

  • Internal Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1689601619
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME105525 Issued in FL
Practice address
23 Wood Manor PL
The Woodlands, TX 77381-2803
Phone
(504) 577-1611
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME105525 FL Primary

Addresses

Primary practice location

23 Wood Manor PL
The Woodlands, TX 77381-2803

Mailing address

23 Wood Manor PL
The Woodlands, TX 77381-2803
Phone (504) 577-1611

Other practice location 1

1715 37th Pl Fl 2
Vero Beach, FL 32960-4508
Phone (504) 577-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091210000103 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 2567479082 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockledge Physician Services, LLC CurrentSince Jun 15, 2016 Accepting new patients
Comprehensive Hospitalists of Florida, LLC CurrentSince Jan 1, 2016 Accepting new patients
Floridian Emergency Specialists, LLC PastSince Jan 26, 2020 Accepting new patients
Indian River Primary Care PastSince Mar 9, 1998 Accepting new patients

Locations

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECFAD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1689601619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WOOD MANOR PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812803",
            "telephone_number": "504-577-1611",
            "fax_number": "772-794-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WOOD MANOR PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812803",
            "telephone_number": "504-577-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 37th Pl Fl 2",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329604508",
            "country_code": "US",
            "telephone_number": "504-577-1611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALILI",
        "first_name": "DEAN",
        "middle_name": "HAMID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.