GURPREET K DHALIWAL MD NPI 1013084177
Obstetrics & Gynecology in Williamsville, NY

About GURPREET K DHALIWAL MD

Gurpreet Dhaliwal is a women's health care provider established in Williamsville, New York and her medical specialization is Obstetrics & Gynecology. The NPI number of Gurpreet Dhaliwal is 1013084177 and was assigned on November 2006. The practitioner's primary taxonomy code is 207V00000X with license number 242343 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1013084177
Provider Name GURPREET K DHALIWAL MD
Location Address6245 SHERIDAN DR WILLIAMSVILLE, NY 14221
Location Phone(716) 631-1150
Mailing Address6255 SHERIDAN DR SUITE 304 WILLIAMSVILLE, NY 14221
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date11-30-2006
Last Update Date03-12-2008

Women's health care providers like Gurpreet K Dhaliwal Md treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.Gurpreet Dhaliwal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.6, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.242343
License StateNY
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Aetna
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

GURPREET K DHALIWAL MD
6245 SHERIDAN DR
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 631-1150
Fax: (716) 630-1265

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Mailing Address

GURPREET K DHALIWAL MD
6255 SHERIDAN DR
SUITE 304
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 857-8666
Fax: (716) 857-8944


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 91.5
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 93
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 74.1
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 93.6
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02832837MEDICAID (05)NY
000528954002OTHER (01)NYHEALTH NOW
RB4964MEDICARE PIN (08)NY
11303OTHER (01)NYMAGNA CARE/AETNA
070807000101OTHER (01)NYFIDELIS
00027831001OTHER (01)NYUNIVERA
0714046OTHER (01)NYINDEPENDENT HEALTH

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013084177
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023088114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 8 + 1 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1013084177 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962496240 MARY ELLEN RUBIN PH.D.
Individual
Psychologist (Clinical)6245 SHERIDAN DR SUITE 218
WILLIAMSVILLE, NY 14221
(716) 632-5563
1669459368DR. DANIEL ARMAND CASTELLANI SR. M.D.
Individual
Specialist6245 SHERIDAN DR SUITE # 216
WILLIAMSVILLE, NY 14221
(716) 626-2647
1871544346DR. RICHARD E WOLIN MD
Individual
Psychiatry & Neurology (Psychiatry)6245 SHERIDAN DR
WILLIAMSVILLE, NY 14221
(716) 630-1204
1033162144 JOSE G. PEREZ-BRACHE MD
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1639123433 EDWARD JOSEPH COSGROVE MD
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1073567954 JAY L NEWMAN MD
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 688-2154
1023063005 DANIEL Q COFIE MD
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1205882636 BRIAN ERIC LUCAS PA
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1497794770 PAUL H REYES MD
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1619916236 DOUGLAS G BUSHELL DO
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1144269994 PAUL TAI-LEUNG CHAN DO
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1568401396 ARTHUR ALEXANDER LEVY MD
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1912946443MR. WILLIAM JOHN LIPUMA JR. PA
Individual
Emergency Medicine (Emergency Medical Services)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1780608448 MICHELLE STOLTENBURG PA
Individual
Physician Assistant (Medical)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1912919291 MARLENE C LONGDON NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)6245 SHERIDAN DR
WILLIAMSVILLE, NY 14221
(716) 630-1205
1801994694 ROBERTA L BEERS-SCHAMBACH RPA
Individual
Physician Assistant (Medical)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1386742187 LARRY HANRAHAN RPA
Individual
Physician Assistant (Medical)6245 SHERIDAN DR SUITE 212
WILLIAMSVILLE, NY 14221
(716) 204-4500
1487963120VIKAS K PILLY MD PC
Organization
Physical Medicine & Rehabilitation (Pain Medicine)6245 SHERIDAN DR SUITE 116
WILLIAMSVILLE, NY 14221
(716) 505-1500
1710285200 ROBERT T DETAMBLE LMT
Individual
Massage Therapist6245 SHERIDAN DR SUITE116
WILLIAMSVILLE, NY 14221
(716) 573-6553
1851689178 JENNIFER D MCKEEL-ARANYOSI LMT, LNP
Individual
Specialist6245 SHERIDAN DR STE 112
WILLIAMSVILLE, NY 14221
(716) 565-0818

Frequently Asked Questions

What is Gurpreet Dhaliwal MD NPI number?

The NPI number assigned to Gurpreet Dhaliwal MD is 1013084177, registered as an "individual" on November 30, 2006

Where is Gurpreet Dhaliwal MD located?

The provider is located at 6245 Sheridan Dr Williamsville, Ny 14221 and the phone number is (716) 631-1150

Which is Gurpreet Dhaliwal MD specialty?

The provider's speciality is Obstetrics & Gynecology

What insurance does Gurpreet Dhaliwal MD accept?

The provider might be accepting Aetna, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Gurpreet Dhaliwal MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Gurpreet Dhaliwal MD?

Medicare beneficiaries should expect a typical cost of $131.79 with an average copayment of $32.94 for new patient appointments. Established patients should expect a typical charge of $71.71 and an average copayment of 17.92. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Gurpreet Dhaliwal MD was last updated on November 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]