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SHAWNDEEP DHALIWAL MD
NPI 1215297148
Family Medicine in Oklahoma City, OK

Active since May 25, 2012PECOS Enrolled
3400 S DOUGLAS BLVD STE 200, OKLAHOMA CITY, OK 73150(405) 272-2850(405) 272-2898 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2017, Aug 18, 2017 (2 updates tracked since 2017).

About Shawndeep Dhaliwal Md NPPES

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

SHAWNDEEP DHALIWAL MD (NPI 1215297148) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (33247) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215297148
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHAWNDEEP DHALIWALCredential: MD
Location Address3400 S DOUGLAS BLVD STE 200Oklahoma City, OK 73150-1017
Mailing Address3400 S Douglas Blvd, Suite 200Oklahoma City, OK 73150 · (405) 272-2850 · Fax (405) 272-2898
Phone(405) 272-2850
Fax(405) 272-2898
Sole ProprietorNo
Enumeration DateMay 25, 2012
Last NPPES UpdateSeptember 12, 20172 updates tracked since enumeration
✔ NPI 1215297148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 33247
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3400 S DOUGLAS BLVD STE 200, Oklahoma City, OK 73150
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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)

Shawndeep Dhaliwal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shawndeep Dhaliwal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Southeast Wisconsin Inc
731 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MS. JEREE C FROST
Family Medicine
3400 S DOUGLAS BLVD STE 200
OKLAHOMA CITY, OK 73150
Oklahoma County (405) 272-2850
DR. PAUL L PRESLAR D.O.
Family Medicine
3400 S DOUGLAS BLVD STE 200
OKLAHOMA CITY, OK 73150
Oklahoma County (405) 272-2850
MRS. KACIE RENEE LILLY RN, IBCLC
Nurse Practitioner (Family)
3400 S DOUGLAS BLVD STE 200
OKLAHOMA CITY, OK 73150
Oklahoma County (405) 272-7000

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 Shawndeep Dhaliwal's NPI number?

The NPI number for Shawndeep Dhaliwal is 1215297148. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Where is Shawndeep Dhaliwal located?

Shawndeep Dhaliwal practices at 3400 S Douglas Blvd Ste 200, Oklahoma City, OK 73150. The listed phone number is (405) 272-2850.

What is Shawndeep Dhaliwal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shawndeep Dhaliwal enrolled in Medicare?

Yes. Shawndeep Dhaliwal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawndeep Dhaliwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawndeep Dhaliwal reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Shawndeep Dhaliwal'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 Shawndeep Dhaliwal was last updated on September 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.