Individual provider Active NPI

Harshavardhan L Dalal, M.D.

  • Gastroenterology Physician
  • Highland, IN
National Provider Identifier
1700812823
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01029392A Issued in IN
Practice address
9731 Prairie Ave
Highland, IN 46322-3616
Phone
(219) 922-4900
Fax
(219) 836-9922
NPI assigned
Jun 23, 2006
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036054886 IL
Gastroenterology Physician 207RG0100X 01029392A IN Primary
Colon & Rectal Surgery Physician 208C00000X 01029392A IN
Colon & Rectal Surgery Physician 208C00000X 036054886 IL

Addresses

Primary practice location

9731 Prairie Ave
Highland, IN 46322-3616

Mailing address

9731 Prairie Ave
Highland, IN 46322-3616
Phone (219) 922-4900

Other practice location 1

5825 Broadway
Suite B
Merrillville, IN 46410-2687
Phone (219) 981-9000

Other practice location 2

9731 Prairie Ave
Highland, IN 46322-3616
Phone (219) 922-4900

Other practice location 3

701 Superior Ave Ste 2700
Munster, IN 46321
Phone (219) 934-9813

Other identifiers 3

IdentifierTypeStateIssuer
000000086035OtherINBCBS OF IN
100213290AMedicaidIN
21609752OtherILBCBS OF IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20081120000498 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 9234299215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

9030 Columbia Ave
Munster, IN 46321-2905
Phone (219) 836-6002

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Upper gastrointestinal (GI) endoscopy for acid reflux70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036054886ILMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Gastroenterology CurrentSince Sep 1, 2021 Accepting new patients
Community Care Network Inc CurrentSince Sep 27, 2023 Accepting new patients
Dalal Medical Corporation Gastroenterology CurrentSince Sep 1, 1985 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Sep 1, 2021 Accepting new patients
I W Chang MD Professional Corp Gastroenterology PastSince Sep 27, 2023 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

4320 Fir St
Unit 201
East Chicago, IN 46312
Phone (219) 392-7664

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

5825 Broadway
Ste B
Merrillville, IN 46410
Phone (219) 922-4900

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

9030 Columbia Ave
Munster, IN 46321
Phone (219) 836-6002

9030 Columbia Ave
#B
Munster, IN 46321
Phone (219) 283-6160

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9410 Calumet Ave
Ste 401
Munster, IN 46321
Phone (219) 922-4900

Interoperability endpoints

  • Direct secure messaging: hdalal11139@ssdirect.comhs.org
  • Direct secure messaging: hdalal64087@direct.franciscanalliance.org
  • Direct secure messaging: hdalal7206@themethodisthospitals.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1700812823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 PRAIRIE AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223616",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 PRAIRIE AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223616",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5825 Broadway",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464102687",
            "country_code": "US",
            "telephone_number": "219-981-9000",
            "fax_number": "219-981-9510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9731 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223616",
            "country_code": "US",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Superior Ave Ste 2700",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "46321",
            "country_code": "US",
            "telephone_number": "219-934-9813",
            "fax_number": "219-934-9823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALAL",
        "first_name": "HARSHAVARDHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036054886",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01029392A",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01029392A",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "036054886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IN",
            "identifier": "000000086035",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213290A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "21609752",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.