Individual provider Active NPI

Amarjeet S Dhillon, MD

  • Psychiatry Physician
  • New Port Richey, FL
National Provider Identifier
1831184316
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0056818 Issued in FL
Practice address
4807 US Highway 19
Ste 204
New Port Richey, FL 34652-4260
Phone
(727) 847-7464
Fax
(727) 847-0692
NPI assigned
Sep 12, 2005
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0056818 FL Primary

Addresses

Primary practice location

4807 US Highway 19
Ste 204
New Port Richey, FL 34652-4260

Mailing address

4807 US Highway 19
Ste 204
New Port Richey, FL 34652-4260
Phone (727) 847-7464

Other identifiers 2

IdentifierTypeStateIssuer
371689900MedicaidFL
260015959OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110601000169 FL Practitioner - Psychiatry 4789861758 Practice locations: New Port Richey, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056818FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amarjeet S. Dhillon M. Psychiatry PastSince Aug 11, 2010 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1831184316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19",
            "address_2": "STE 204",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-847-7464",
            "fax_number": "727-847-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19",
            "address_2": "STE 204",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-847-7464",
            "fax_number": "727-847-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "AMARJEET",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0056818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371689900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260015959",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.