1. Home
  2. Directory
  3. Washington
  4. Mount Vernon
  5. Internal Medicine
  6. NPI Profile

DR. NAVDEEP DHALIWAL M.D.
NPI 1477968337
Internal Medicine in Mount Vernon, WA

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1415 E KINCAID ST DEPT OF, MOUNT VERNON, WA 98274(360) 424-4111 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2019, Jun 29, 2016 (2 updates tracked since 2016).

About Dr. Navdeep Dhaliwal M.d. NPPES

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

DR. NAVDEEP DHALIWAL M.D. (NPI 1477968337) is an individual internal medicine provider in Mount Vernon, Washington, licensed in Washington (MD60702340) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1477968337
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NAVDEEP DHALIWALCredential: M.D.
Location Address1415 E KINCAID ST DEPT OFMount Vernon, WA 98274-4126
Mailing Address1415 E Kincaid St Dept OfMount Vernon, WA 98274-4126 · (360) 424-4111
Phone(360) 424-4111
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 30, 2014
Last NPPES UpdateApril 12, 20192 updates tracked since enumeration
✔ NPI 1477968337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD60702340
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1415 E KINCAID ST DEPT OF, Mount Vernon, WA 98274
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Navdeep Dhaliwal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830488071
PECOS Enrollment IDI20170628002395, I20210107000383, I20240325001500, I20240521002796
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
361 services353 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
280 services235 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
277 services191 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
118 services115 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
116 services99 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
59 services59 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%227 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Navdeep Dhaliwal's NPI number?

The NPI number for Navdeep Dhaliwal is 1477968337. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Navdeep Dhaliwal located?

Navdeep Dhaliwal practices at 1415 E Kincaid St Dept Of, Mount Vernon, WA 98274. The listed phone number is (360) 424-4111.

What is Navdeep Dhaliwal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Navdeep Dhaliwal enrolled in Medicare?

Yes. Navdeep Dhaliwal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Navdeep Dhaliwal accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Navdeep Dhaliwal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Navdeep Dhaliwal affiliated with any hospitals?

According to CMS data, Navdeep Dhaliwal is affiliated with Alton Memorial Hospital, Memorial Hospital and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Navdeep Dhaliwal was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.