DINESH ATWAL M.D.
NPI 1114313962
Internal Medicine - Medical Oncology in Boston, MA
NPI Status: Active since April 08, 2015
Contact Information
55 FRUIT ST
BOSTON, MA
ZIP 02114
Phone: (617) 726-2000
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Group Taxonomy
- Insurance Plans Accepted
- Secondary Locations
- Medicare Participation & PECOS Status
- Areas of Expertise
- Durable Medical Equipment
- Physician Visit Costs
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Male
- Years of Experience 15
- Internal Medicine
- Medical Oncology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DINESH ATWAL
This page provides the complete NPI Profile along with additional information for Dinesh Atwal, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in medical oncology and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1114313962 assigned on April 2015. The practitioner's primary taxonomy code is 207RX0202X with license number 1019396 (MA). The provider is registered as an individual and his NPI record was last updated one year ago. Dinesh Atwal operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.
- NPI
- 1114313962
- Provider Name
- DINESH ATWAL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST BOSTON, MA 02114
- Location Phone
- (617) 726-2000
- Mailing Address
- 789 CENTRAL AVE DOVER, NH 03820
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-08-2015
- Last Update Date
- 08-22-2024
- Code Navigator
An internist like Dinesh Atwal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 789 Central Ave
Dover, NH 03820
(603) 742-8787 - 121 Corporate Dr Bldg C
Portsmouth, NH 03801
(603) 742-8787
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Medical Oncology
- Taxonomy Code
- 207RX0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1019396
- License State
- MA
- Taxonomy Description
- An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | E-10717 (AR) |
| 2 | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 1019396 (MA) |
| 3 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | 21292 (NH) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
- WellSense Clarity NH Bronze 6500 + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Bronze 7300 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Bronze 7500 + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Gold 1500 + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Silver 0 Deductible + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Silver 5000 + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Silver 5800 + $0 Rx List + 24/7 Nurse Advice - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3127571 | MEDICAID (05) | NH |
Medicare Participation & PECOS Enrollment Status
Dinesh Atwal is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Dinesh Atwal 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5991011322
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210629001887
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Unknown
Treatment-Treatment - Miscellaneous (RX029N)
Capecitabine, oral, 500 mg (HCPCS:J8521)
1 DME suppliers used 17 Medicare Claims 1246 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)
2 DME suppliers used 18 Medicare Claims 18 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)
2 DME suppliers used 18 Medicare Claims 20 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Established patient office or other outpatient visit, 40-54 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
New patient office or other outpatient visit, 60-74 minutes
Telephone medical discussion with physician, 21-30 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 94 times for 67 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 34 times for 29 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 287 times for 110 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 102 times for 46 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 73 times for 48 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 24 times for 20 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 27 times for 19 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 20 times for 20 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 25 times for 25 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 47 times for 47 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 44 times for 44 patientsThis service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 14 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $47.46 for a new patient copayment and $27.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $189.86
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $47.46
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dinesh Atwal is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| YORK HOSPITAL | 15 HOSPITAL DRIVE YORK, ME 03909 | (207) 351-2478 | Acute Care Hospitals | |
| WENTWORTH-DOUGLASS HOSPITAL | 789 CENTRAL AVE DOVER, NH 03820 | (603) 740-2580 | Acute Care Hospitals | |
| HUGGINS HOSPITAL | 240 SOUTH MAIN STREET WOLFEBORO, NH 03894 | (603) 569-7500 | Critical Access Hospitals |
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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. | |||||||||
| 1 | 1 | 1 | 4 | 3 | 1 | 3 | 9 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 6 | 1 | 6 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 6 + 1 + 6 + 9 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1114313962 is valid because the calculated check digit 2 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.
ANDREW T CHAN M.D.
Internal Medicine
(Gastroenterology)
55 FRUIT ST
BOSTON, MA
ZIP 02114
KALOYAN S TANEV MD
Psychiatry & Neurology
(Psychiatry)
55 FRUIT ST
WARREN 1220
BOSTON, MA
ZIP 02114
DR. DEBRA F WEINSTEIN MD
Internal Medicine
(Gastroenterology)
55 FRUIT ST
BOSTON, MA
ZIP 02114
BRADEN KUO M.D.
Internal Medicine
(Gastroenterology)
55 FRUIT ST
BLAKE 4, GI UNIT. MGH
BOSTON, MA
ZIP 02114
DR. NANCY J GAGLIANO MD
Internal Medicine
55 FRUIT ST
4710B
BOSTON, MA
ZIP 02114
DR. DAVID F TORCHIANA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST
BUL 119
BOSTON, MA
ZIP 02114
DAVID MICHAEL SHAHIAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST
MGH, BULFINCH 2
BOSTON, MA
ZIP 02114
DR. JAY JEFFREY SCHNITZER M.D., PH.D.
Surgery
55 FRUIT ST
PEDIATRIC SURGERY, WRN 11
BOSTON, MA
ZIP 02114
DR. THEODORE JOSEPH ONGARO MD
Urology
55 FRUIT ST
GRB 1102
BOSTON, MA
ZIP 02114
DR. WEI CHAO MD PHD
Anesthesiology
55 FRUIT ST
CLN 3
BOSTON, MA
ZIP 02114
DR. MAURICE ALBRIGHT MD
Orthopaedic Surgery
55 FRUIT ST
YAW 3E ORTHOPAEDIC ASSOCIATES
BOSTON, MA
ZIP 02114
DR. GREGORY YVES LAUWERS MD
Pathology
(Anatomic Pathology)
55 FRUIT ST
PATHOLOGY ASSOCIATES WRN 2
BOSTON, MA
ZIP 02114
DR. KENT BALANIS LEWANDROWSKI MD
Pathology
(Anatomic Pathology & Clinical Pathology)
55 FRUIT ST
GRB 5 PATHOLOGY ASSOCIATES
BOSTON, MA
ZIP 02114
DR. JEFFREY A GELFAND MD
Allergy & Immunology
55 FRUIT ST
S50-801 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA
ZIP 02114
DR. KATHLEEN BRIGID TRAINOR PSYD
Psychologist
55 FRUIT ST
YAW 6A MASSACHUSSETTS GENERAL HOSPITAL
BOSTON, MA
ZIP 02114
DR. BOYD TAYLOR THOMPSON MD
Internal Medicine
(Pulmonary Disease)
55 FRUIT ST
BOSTON, MA
ZIP 02114
DR. RAJESH TIM GANDHI MD
Internal Medicine
(Infectious Disease)
55 FRUIT ST
FND 8 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA
ZIP 02114
DR. SHIHAB AHMED MBBS
Anesthesiology
(Pain Medicine)
55 FRUIT ST
CLN 309 ANESTHESIA ASSOCIATES
BOSTON, MA
ZIP 02114
DR. MARIE B DEMAY MD
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
55 FRUIT ST
WEL 5
BOSTON, MA
ZIP 02114
DR. MICHELE TRUCKSIS MD PHD
Internal Medicine
55 FRUIT ST
INFECTIOUS DISEASE ASSOCIATES GRJ 504
BOSTON, MA
ZIP 02114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114313962, enumerated as an "individual" on April 08, 2015.
The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 726-2000.
Internal Medicine with taxonomy code 207RX0202X and a focus in Medical Oncology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.
Dinesh Atwal is affiliated with: YORK HOSPITAL, WENTWORTH-DOUGLASS HOSPITAL and HUGGINS HOSPITAL.
