Active NPI
Dean Hamid Dalili, M.D.
- Internal Medicine Physician
- The Woodlands, TX
National Provider Identifier
1689601619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME105525
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091210000103 | FL | Practitioner - Internal Medicine | 2567479082 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockledge Physician Services, LLC | Current | Accepting new patients | |
| Comprehensive Hospitalists of Florida, LLC | Current | Accepting new patients | |
| Floridian Emergency Specialists, LLC | Past | Accepting new patients | |
| Indian River Primary Care | Past | 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
- 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.
-
- Emergency Medicine Physician
- Crestview, FL
- NPI 1992150007
-
- Specialist
- Vero Beach, FL
- NPI 1023192507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.