Active NPI
Hetal K Dhruva, MD
- Pediatrics Physician
- Bel Air, MD
National Provider Identifier
1861615700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA07652400
- Practice address
- 2111 Laurel Bush Road
Suite H
Bel Air, MD 21015 - Phone
- (410) 569-3300
- Fax
- (410) 515-2027
- NPI assigned
- Apr 10, 2007
- Last updated
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA07652400 | NJ | Primary |
Addresses
Primary practice location
2111 Laurel Bush Road
Suite H
Bel Air, MD 21015
Mailing address
905 Cedarday Dr.
Bel Air, MD 21015
Phone (410) 569-3300
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07652400 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Memorial Hospital | Past | Accepting new patients | |
| City of Elizabeth | Past | Accepting new patients | |
| Bright Oaks Pediatric Center, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Bel Air, MD
- NPI 1912120916
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1336163781
-
- Ambulance
- Elizabeth, NJ
- NPI 1366435745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1861615700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 CEDARDAY DR.",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015",
"telephone_number": "410-569-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 LAUREL BUSH ROAD",
"address_2": "SUITE H",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015",
"telephone_number": "410-569-3300",
"fax_number": "410-515-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHRUVA",
"first_name": "HETAL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07652400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.