Individual provider Active NPI

Anish H.S. Dhadwal, MD

  • Emergency Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1790077634
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME121092 Issued in FL
Practice address
166 Madeira Ave
Coral Gables, FL 33134-4552
Phone
(305) 979-9695
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME121092 FL Primary

Addresses

Primary practice location

166 Madeira Ave
Coral Gables, FL 33134-4552

Mailing address

166 Madeira Ave
Coral Gables, FL 33134-4552
Phone (305) 979-9695

Other practice location 1

11750 SW 40th Street
Miami, FL 33175
Phone (305) 229-2434

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121092FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anish Aesthetics Corp CurrentSince Nov 13, 2022 Accepting new patients
Emergency Physician Solutions of South Florida, LLC Emergency Medicine PastSince Mar 1, 2020 Accepting new patients

Locations

166 Madeira Ave
Coral Gables, FL 33134
Phone (305) 979-9695

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1790077634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MADEIRA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344552",
            "telephone_number": "305-979-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MADEIRA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344552",
            "telephone_number": "305-979-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 SW 40th Street",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33175",
            "country_code": "US",
            "telephone_number": "305-229-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHADWAL",
        "first_name": "ANISH",
        "middle_name": "H.S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME121092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.