NPIMap

Individual provider Active NPI

Deepan Shailesh Dalal, MD, MPH

  • Rheumatology Physician
  • Cranston, RI
National Provider Identifier
1962720441
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD14861 Issued in RI
Practice address
725 Reservoir Ave Ste 204
Cranston, RI 02910-4451
Phone
(401) 563-9825
Fax
(401) 563-9826
NPI assigned
May 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD14861 RI Primary

Addresses

Primary practice location

725 Reservoir Ave Ste 204
Cranston, RI 02910-4451

Mailing address

725 Reservoir Ave
Suite 204
Cranston, RI 02910-4451
Phone (401) 563-9825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806010154 RI Practitioner - RheumatologyPractitioner - Internal Medicine 8426280934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ri Rheumatology LLCGroup PAC ID 0042601965, 2 clinicians

Practice addresses (Care Compare)

725 Reservoir Ave
Suite 204
Cranston, RI 02910-4451
Phone (401) 563-9825

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ri Rheumatology LLC Rheumatology CurrentSince Dec 6, 2021 Accepting new patients
Ri Rheumatology LLC Current Accepting new patients

Locations

725 Reservoir Ave
Ste 204
Cranston, RI 02910
Phone (401) 563-9825

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1962720441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 204",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-563-9825",
            "fax_number": "401-563-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 204",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-563-9825",
            "fax_number": "401-563-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "DEEPAN",
        "middle_name": "SHAILESH",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "RI",
            "license": "MD14861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.