DAHLIA BU MD A PROF CORP.
NPI 1205954351
Obstetrics & Gynecology in Fair Oaks, CA
About Dahlia Bu Md A Prof Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAHLIA BU MD A PROF CORP. (NPI 1205954351) is a healthcare organization registered as an obstetrics & gynecology in Fair Oaks, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Dahlia Bu, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Dahlia Bu Md A Prof Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dahlia Bu MD A Prof Corp., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0941047
Dahlia Bu MD · Fair Oaks, CAFrequently 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 Dahlia Bu MD A Prof Corp.'s NPI number?
The NPI number for Dahlia Bu MD A Prof Corp. is 1205954351. It was assigned to this organization in the NPPES registry on March 27, 2007.
Where is Dahlia Bu MD A Prof Corp. located?
Dahlia Bu MD A Prof Corp. is located at 5525 Dewey Dr 108, Fair Oaks, CA 95628. The listed phone number is (916) 961-2800.
What is Dahlia Bu MD A Prof Corp.'s specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Dahlia Bu MD A Prof Corp. enrolled in Medicare?
Yes. Dahlia Bu MD A Prof Corp. is registered in the Medicare PECOS enrollment system.
When is Dahlia Bu MD A Prof Corp.'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 (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Dahlia Bu MD A Prof Corp.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Dahlia Bu MD A Prof Corp.. 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.
Does Dahlia Bu MD A Prof Corp. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0941047) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dahlia Bu MD A Prof Corp. was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dahlia Bu Md A Prof Corp. · NPI 1205954351
Obstetrics & Gynecology organization in Fair Oaks, California. Organization record, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1205954351 (Entity type: Organization)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Dahlia Bu, MD
## Practice location
- **Address:** 5525 DEWEY DR, 108, Fair Oaks, CA 95628
- **Phone:** (916) 961-2800 · **Fax:** (916) 961-7264
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2011
- **Other identifiers:** Medicare UPIN A48377; Medicare ID-Type Unspecified 00G40859
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205954351) · Data from the CMS NPPES public registry.