Individual provider Active NPI

Shreyasi H. Dalal, MD

  • Anesthesiology Physician
  • Crown Point, IN
National Provider Identifier
1821022146
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01029779A Issued in IN
Practice address
11456 Broadway
Crown Point, IN 46307-7106
Phone
(219) 227-3621
Fax
(219) 865-5401
NPI assigned
Jul 11, 2006
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01029779A IN Primary
Anesthesiology Physician 207L00000X 036-061859 IL

Addresses

Primary practice location

11456 Broadway
Crown Point, IN 46307-7106

Mailing address

425 Joliet St
Suite 400
Dyer, IN 46311-1765
Phone (219) 227-3621

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
I20041110000066 IN Practitioner - Anesthesiology 2860455979 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11456 S Broadway
Crown Point, IN 46307-7106
Phone (219) 488-0154

Merit-based Incentive Payment System (MIPS)

Final score
93.29 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-061859ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain & Anesthesia Consultants, PC CurrentSince Jun 3, 2002 Accepting new patients
Williams Eye Institute, PC Current Accepting new patients
Williams Eye Institute, PC CurrentSince May 17, 2024 Accepting new patients
Novamed Surgery Center of Merrillville, LLC CurrentSince May 17, 2024 Accepting new patients
Advance Pain & Anesthesia Consultants, PC CurrentSince Jun 3, 2002 Accepting new patients
Stat Anesthesia Specialists LTD Anesthesiology CurrentSince Mar 17, 2023 Accepting new patients
Novamed Surgery Center of Merrillville, LLC CurrentSince May 17, 2024 Accepting new patients
Stat Anesthesia Specialists, LTD. Anesthesiology CurrentSince Mar 17, 2023 Accepting new patients
Interventional Pain Management, LTD. Anesthesiology Past Accepting new patients

Locations

18221 Torrence Ave
Lansing, IL 60438
Phone (708) 474-7650

18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600

11456 Broadway
Crown Point, IN 46307
Phone (219) 488-0154

11460 Broadway
Crown Point, IN 46307
Phone (219) 488-0154

5355 Commerce Blvd
#C
Crown Point, IN 46307

9797 Massachusetts St
Crown Point, IN 46307
Phone (219) 649-2704

425 US Highway 30
Ste 400
Dyer, IN 46311
Phone (219) 488-0165

6836 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509

6850 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509

8514 Broadway
Merrillville, IN 46410
Phone (219) 756-5010

8900 Broadway
Merrillville, IN 46410
Phone (219) 252-2173

901 Fran Lin Pkwy
Munster, IN 46321
Phone (219) 552-8561

9200 Calumet Ave
Ste E-100
Munster, IN 46321
Phone (219) 682-4051

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260

10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1821022146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST",
            "address_2": "SUITE 400",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "219-227-3621",
            "fax_number": "219-865-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11456 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077106",
            "telephone_number": "219-227-3621",
            "fax_number": "219-865-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "SHREYASI",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01029779A",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-061859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.