NPIMap

Individual provider Active NPI

Umesh I Dalal, M.D.

  • Nephrology Physician
  • Stroudsburg, PA
National Provider Identifier
1790896082
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD 046225-L Issued in PA
Practice address
1619 N 9TH St
Suite 2a
Stroudsburg, PA 18360-6501
Phone
(610) 628-7920
Fax
(610) 821-2853
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 046225-L PA
Nephrology Physician 207RN0300X MD 046225-L PA Primary

Addresses

Primary practice location

1619 N 9TH St
Suite 2a
Stroudsburg, PA 18360-6501

Mailing address

1619 N 9TH St
Suite 2a
Stroudsburg, PA 18360-6501
Phone (610) 628-7920

Other identifiers 1

IdentifierTypeStateIssuer
12938470006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000120 PA Practitioner - NephrologyPractitioner - Internal Medicine 2365444916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

166 Eagles Glen Plaza
St Lukes Nephrology Associates of Monroe Co
East Stroudsburg, PA 18301-1349
Phone (570) 424-5307

3361 Route 611
Bartonsville, PA 18321-7821

3565 Route 611
Suite 300
Bartonsville, PA 18321-7800
Phone (484) 526-2200

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 046225-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Gslpg, Inc CurrentSince Nov 4, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Apr 1, 2016 Accepting new patients
Prineville Dialysis LLC PastSince Dec 1, 2018 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105

166 Eagles Glen Plz
East Stroudsburg, PA 18301
Phone (570) 424-5307

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1619 N 9th St
Ste 2A
Stroudsburg, PA 18360
Phone (610) 628-7920

Interoperability endpoints

  • Direct secure messaging: umesh.dalal@slpg.direct-sluhn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1790896082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N 9TH ST",
            "address_2": "SUITE 2A",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606501",
            "telephone_number": "610-628-7920",
            "fax_number": "610-821-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N 9TH ST",
            "address_2": "SUITE 2A",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606501",
            "telephone_number": "610-628-7920",
            "fax_number": "610-821-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "UMESH",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 046225-L",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD 046225-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12938470006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.