Individual provider Active NPI

Dawinder Singh Sohal

  • Nephrology Physician
  • Vicksburg, MS
National Provider Identifier
1962411215
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22934 Issued in MS
Practice address
1202 Mission Park Dr
Vicksburg, MS 39180-3758
Phone
(601) 738-5549
Fax
(601) 630-9120
NPI assigned
Aug 5, 2006
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 22934 MS Primary

Addresses

Primary practice location

1202 Mission Park Dr
Vicksburg, MS 39180-3758

Mailing address

1202 Mission Park Dr
Vicksburg, MS 39180-3758
Phone (601) 738-5549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140701002432 MS Practitioner - Nephrology 9032334222 Reassigns benefits to 1 organization
I20150724011952 LA Practitioner - Nephrology 9032334222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicksburg Nephrology LLCGroup PAC ID 9032334578, 4 clinicians

Practice addresses (Care Compare)

1003 Misson Park Dr
Vicksburg, MS 39180-3763
Phone (601) 299-5605

104 Railroad Ave
Delta, LA 71233
Phone (601) 738-5549

1202 Mission Park Dr
Vicksburg, MS 39180-3758
Phone (601) 738-5549

2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 738-5549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Nephrology LLC Nephrology CurrentSince Apr 16, 2014 Accepting new patients
Dermatology and Skin Cancer Clinic, P.a. PastSince Feb 2, 2020 Accepting new patients

Locations

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

105 Keystone Cir
Vicksburg, MS 39183
Phone (601) 634-6057

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFEFCD

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1962411215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MISSION PARK DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803758",
            "telephone_number": "601-738-5549",
            "fax_number": "601-630-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MISSION PARK DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803758",
            "telephone_number": "601-738-5549",
            "fax_number": "601-630-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHAL",
        "first_name": "DAWINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "22934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.