GURPREET S DHALIWAL MD P A
NPI 1063766657
Psychiatry & Neurology - Neurology in Burleson, TX

Active since November 04, 2012
11803 SOUTH FWY, SUITE 210, BURLESON, TX 76028(817) 551-6000 Get Directions Write a Review

NPPES record last updated: November 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gurpreet S Dhaliwal Md P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GURPREET S DHALIWAL MD P A (NPI 1063766657) is a healthcare organization registered as a neurology in Burleson, Texas and active in the NPI registry since November 2012. The organization lists Gurpreet Dhaliwal, President, as its authorized official.

NPPES Registry Identity

NPI1063766657
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameGURPREET S DHALIWAL MD P A
Location Address11803 SOUTH FWY, SUITE 210Burleson, TX 76028-7012
Mailing Address11803 South Fwy, Suite 210Burleson, TX 76028-7012 · (817) 551-6000
Organization SubpartNo
Authorized OfficialGurpreet DhaliwalPresident · (817) 551-6000
Enumeration DateNovember 4, 2012
✔ NPI 1063766657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
11803 SOUTH FWY, Burleson, TX 76028

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gurpreet S Dhaliwal Md P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20130418000514Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gurpreet S Dhaliwal MD P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1780601286
11803 SOUTH FWY STE 210
Burleson, TX 76028
(817) 551-6000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gurpreet S Dhaliwal MD P A's NPI number?

The NPI number for Gurpreet S Dhaliwal MD P A is 1063766657. It was assigned to this organization in the NPPES registry on November 4, 2012.

Where is Gurpreet S Dhaliwal MD P A located?

Gurpreet S Dhaliwal MD P A is located at 11803 South Fwy Suite 210, Burleson, TX 76028. The listed phone number is (817) 551-6000.

What is Gurpreet S Dhaliwal MD P A's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Gurpreet S Dhaliwal MD P A enrolled in Medicare?

Yes. Gurpreet S Dhaliwal MD P A is registered in the Medicare PECOS enrollment system.

When is Gurpreet S Dhaliwal MD P A's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gurpreet S Dhaliwal MD P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Gurpreet S Dhaliwal MD P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gurpreet S Dhaliwal MD P A was last updated on November 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.