Sarthi Dalal, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS020820 Issued in PA

Practice address

4131 Main St
Philadelphia, PA 19127-2126

Phone

(610) 613-1504

Fax

(215) 935-4906

NPI assigned

Jun 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Serenity Behavioral Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Havertown, PA
  • NPI 1376177899
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1770076465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272126",
            "telephone_number": "610-613-1504",
            "fax_number": "215-935-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272126",
            "telephone_number": "610-613-1504",
            "fax_number": "215-935-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "SARTHI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS020820",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038263750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Emre Dal
• Jimmy Dalaigh, R.N.
• Marinos Dalakas, MD
• Avani Dalal
• Jay Paresh Dalal, D.M.D
• Shaman Milan Dalal, MD
• Sharvari Dalal, MD
• Sonia Dalal
• Andrew Matthew Bhushan Dale
• Donnalee M Dale, AGNP-C

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.

Verify at the official NPI Registry.