Individual provider Active NPI

Dinkar Dholakia, PA-C

  • Surgical Physician Assistant
  • Bel Air, MD
National Provider Identifier
1962727248
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0004160 Issued in MD
Practice address
500 Upper Chesapeake Drive
Upper Chesapeake Medical Center
Bel Air, MD 21014
Phone
(443) 643-3942
Fax
(443) 643-3946
NPI assigned
Mar 30, 2010
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C0004160 MD Primary

Addresses

Primary practice location

500 Upper Chesapeake Drive
Upper Chesapeake Medical Center
Bel Air, MD 21014

Mailing address

152 Touch of Gold Dr
Havre de Grace, MD 21078-2364
Phone (443) 939-7185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000347 MD Practitioner - Physician Assistant 7618005661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0004160MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Surgical Associates, LLC PastSince Nov 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ddholakia651586@direct.umm.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1962727248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 TOUCH OF GOLD DR",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782364",
            "telephone_number": "443-939-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DRIVE",
            "address_2": "UPPER CHESAPEAKE MEDICAL CENTER",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "443-643-3942",
            "fax_number": "443-643-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHOLAKIA",
        "first_name": "DINKAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0004160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.