Active NPI
Shagun Dhaliwal, MD
- Cornea and External Diseases Specialist Physician
- Flower Mound, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cornea and External Diseases Specialist Physician
- License
- R6551
- Practice address
- 4900 Long Prairie Rd Ste 400
Flower Mound, TX 75028-2234 - Phone
- (972) 691-3937
- NPI assigned
- Jun 21, 2014
- Last updated
- May 17, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL.0005331 | CO | |
| Ophthalmology Physician | 207W00000X | R6551 | TX | |
| Ophthalmology Physician | 207W00000X | 10716230-1205 | UT | |
| Cornea and External Diseases Specialist Physician | 207WX0120X | R6551 | TX | Primary |
Addresses
Primary practice location
4900 Long Prairie Rd Ste 400
Flower Mound, TX 75028-2234
Mailing address
4900 Long Prairie Rd Ste 100
Flower Mound, TX 75028-2288
Phone (214) 500-5552
Other practice location 1
11751 Alta Vista Rd Ste 103A
Fort Worth, TX 76244-6442
Phone (972) 691-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Texas a & M University System, HSC, College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4900 Long Prairie Rd
Suite 400
Flower Mound, TX 75028-2234
Phone (972) 691-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 89 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6551 | TX | MD | Ophthalmology Physician |
| 10716230-1205 | UT | MD | Ophthalmology Physician |
| TL.0005331 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| Eye Associates of Texas, PLLC | Ophthalmology | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Texas Eye Surgeons PA | Current | Accepting new patients | |
| University of Utah | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah | Current | Accepting new patients |
Locations
11751 Alta Vista Rd
Ste 103A
Fort Worth, TX 76244
Phone (972) 691-3937
4108 W 15th St
Ste 200
Plano, TX 75093
Phone (972) 379-3937
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- sdhaliwal@directaddress.net
Organizations & group practices 7
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.
-
- Ophthalmology Physician
- Flower Mound, TX
- NPI 1114542230
-
- Specialist
- Richardson, TX
- NPI 1285989228
-
dba University Health Care Hospitals and Clinics
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba University Health Care
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
-
dba Internal Med- Interventional Cardiology Dept. of University of Utah
- Interventional Cardiology Physician
- Salt Lake City, UT
- NPI 1285038083
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1902211667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 LONG PRAIRIE RD STE 100",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282288",
"telephone_number": "214-500-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 LONG PRAIRIE RD STE 400",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282234",
"telephone_number": "972-691-3937"
}
],
"practiceLocations": [
{
"address_1": "11751 Alta Vista Rd Ste 103A",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762446442",
"country_code": "US",
"telephone_number": "972-691-3937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHALIWAL",
"first_name": "SHAGUN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-21",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL.0005331",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "R6551",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "UT",
"license": "10716230-1205",
"primary": false
},
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "TX",
"license": "R6551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.