Harbans Singh Deol, DO

Key facts

NPI

1912995135

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

02999 (IA)

Practice address

2000B South Main St
Fairfield, IA 52556-3740

Phone

(641) 472-4156

Fax

(641) 472-9436

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Harbans Deol DO PHD PC Internal Medicine Physician · Burlington, IA · NPI 1487736526
  NPD (past) Authorized official INTERNAL MEDICINE
• Mercy Medical Center-Centerville Emergency Care Clinic/Center · Centerville, IA · NPI 1528018801
  NPD (past)
• Southeast Iowa Regional Medical Center, Inc. General Practice Physician · West Burlington, IA · NPI 1164433884
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2009.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1912995135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000B SOUTH MAIN ST",
            "address_2": "P.O. BOX 1507",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563740",
            "telephone_number": "641-472-4156",
            "fax_number": "641-472-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000B SOUTH MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563740",
            "telephone_number": "641-472-4156",
            "fax_number": "641-472-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOL",
        "first_name": "HARBANS",
        "middle_name": "SINGH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "02999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7266536",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS PIN",
            "identifier": "37561",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Fairfield, IA · Internal Medicine Physician in Iowa