Individual provider Active NPI

Rajbir Dhaliwal

  • Family Medicine Physician
  • Bellingham, WA
National Provider Identifier
1922400308
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61420574 Issued in WA
Practice address
4545 Cordata Pkwy Ste 2C2D
Bellingham, WA 98226-7263
Phone
(360) 752-5165
Fax
(360) 752-5686
NPI assigned
Sep 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61420574 WA Primary
Hospitalist Physician 208M00000X 50210 KY
Family Medicine Physician 207Q00000X APPLYING KY

Addresses

Primary practice location

4545 Cordata Pkwy Ste 2C2D
Bellingham, WA 98226-7263

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 212-4468

Other practice location 1

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-8074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230516001048 WA Practitioner - Family Practice 9335410398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

4545 Cordata Pkwy
Bellingham, WA 98226-7263
Phone (360) 738-2200

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
86.48
Promoting interoperability
100
Improvement activities
40
Cost
76.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50210KYMDHospitalist Physician
APPLYINGKYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Jun 30, 2017 Accepting new patients
Summit Medical Group, Inc Family Medicine CurrentSince Jun 30, 2017 Accepting new patients
Peacehealth Family Medicine CurrentSince Jul 3, 2023 Accepting new patients

Locations

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

4545 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 752-5646

4545 Cordata Pkwy
Ste 2C2D
Bellingham, WA 98226
Phone (360) 752-5165

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

4545 Cordata Pkwy
Ste 2C
Bellingham, WA 98226
Phone (360) 752-5165

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

Interoperability endpoints

  • Direct secure messaging: rdhaliwal166687@direct-prd.stelizabeth.com
  • Direct secure messaging: rdhaliwal616348@direct.peacehealth.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1922400308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-212-4468",
            "fax_number": "859-212-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CORDATA PKWY STE 2C2D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267263",
            "telephone_number": "360-752-5165",
            "fax_number": "360-752-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-8074",
            "fax_number": "859-301-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "RAJBIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61420574",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "50210",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "APPLYING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.