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DISHAW DEVI HOLIPROSAD MD
NPI 1154900108
Anesthesiology in New York, NY

Active since April 06, 2021PECOS Enrolled
630 W 168TH ST, NEW YORK, NY 10032(212) 305-2862 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2026, Apr 6, 2021 (2 updates tracked since 2021).

About Dishaw Devi Holiprosad Md NPPES

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

DISHAW DEVI HOLIPROSAD MD (NPI 1154900108) is an individual anesthesiology provider in New York, New York, licensed in New York (325720) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2021).

NPPES Registry Identity

NPI1154900108
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDISHAW DEVI HOLIPROSADCredential: MD
Location Address630 W 168TH STNew York, NY 10032-3725
Mailing Address226 Hoke AveOceanside, NY 11572-2908 · (646) 339-6912
Phone(212) 305-2862
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1154900108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 325720
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
630 W 168TH ST, New York, NY 10032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dishaw Devi Holiprosad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668940750
PECOS Enrollment IDI20260506004210
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dishaw Holiprosad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Anesthesiology, PC
25 mi
Anesthesiology
480 BEDFORD RD BLDG B
Chappaqua, NY 10514
  • Reassigned Medicare billing, New York enrollment
  • 1,406 clinicians in this Medicare group
NPI 1417401266 (914) 666-8866

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURA YAEL KUREK M.D.
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
New York County (209) 915-2086
COLUMBIADOCTORS AMBULATORY CARE NETWORK
Internal Medicine
630 W 168TH ST, BB 2-239
NEW YORK, NY 10032
New York County (212) 305-1181
DANIEL KADOSH M.D
Radiology (Diagnostic Radiology)
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-1948
JESSICA S YUE
Physician Assistant
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500
DR. DOMENICO ACCILI M.D.
Hospitalist
630 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
New York County (212) 851-5332
DR. DAEWON HAAM D.D.S.
Dentist (Prosthodontics)
630 W 168TH ST, PH7 - 318 D
NEW YORK, NY 10032
New York County (212) 342-6909
AMANDA COUTAIN RN
Registered Nurse
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500
DEVIN MANTINI MD
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500

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 Dishaw Holiprosad's NPI number?

The NPI number for Dishaw Holiprosad is 1154900108. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Dishaw Holiprosad located?

Dishaw Holiprosad practices at 630 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2862.

What is Dishaw Holiprosad's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Dishaw Holiprosad enrolled in Medicare?

Yes. Dishaw Holiprosad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dishaw Holiprosad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dishaw Holiprosad reassigns Medicare benefits to North Shore - Lij Anesthesiology, PC (Chappaqua, NY). The 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 Dishaw Holiprosad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dishaw Holiprosad was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.