Individual provider Active NPI

Delia Dagli, PA

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1720315682
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3906 Issued in MA
Practice address
100 MLK Jr Blvd #110
Worcester, MA 01608-1209
Phone
(508) 754-3823
Fax
(508) 753-0151
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3906 MA Primary

Addresses

Primary practice location

100 MLK Jr Blvd #110
Worcester, MA 01608-1209

Mailing address

100 MLK Jr Blvd #110
Worcester, MA 01608-1209
Phone (508) 754-3823

Other names 1

  • Delia Hamidzada Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100223000749 MA Practitioner - Physician Assistant 7416091806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Worcester Dermatology Associates, P.C.Group PAC ID 4587613369, 4 clinicians

Practice addresses (Care Compare)

100 MLK Jr Blvd
Worcester, MA 01608-1209
Phone (508) 754-3823

Merit-based Incentive Payment System (MIPS)

Final score
95.9 of 100Reported as individual
Quality
88.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: delia.dagli.npi1720315682.reliant@direct.optumcare.masshiway.net

Organizations & group practices 2

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": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1720315682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MLK JR BLVD #110",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-754-3823",
            "fax_number": "508-753-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MLK JR BLVD #110",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-754-3823",
            "fax_number": "508-753-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGLI",
        "first_name": "DELIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELIA",
            "last_name": "HAMIDZADA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.