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AVNINDER SINGH DHALIWAL M.D.
NPI 1669417408
Ophthalmology in Novi, MI

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
26850 PROVIDENCE PKWY, SUITE 240, NOVI, MI 48374(248) 697-2822(888) 443-3187 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avninder Singh Dhaliwal M.d. NPPES

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

AVNINDER SINGH DHALIWAL M.D. (NPI 1669417408) is an individual ophthalmology provider in Novi, Michigan, licensed in Michigan (4301078429) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2001).

NPPES Registry Identity

NPI1669417408
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameAVNINDER SINGH DHALIWALCredential: M.D.
Location Address26850 PROVIDENCE PKWY, SUITE 240Novi, MI 48374-1213
Mailing Address1441 Woodland PlPlymouth, MI 48170-1534 · (248) 534-5692
Phone(248) 697-2822
Fax(888) 443-3187
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2001
Enumeration DateJune 17, 2006
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1669417408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301078429
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
26850 PROVIDENCE PKWY, Novi, MI 48374
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Other Identifiers 1

Medicare UPINI33756

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Avninder Singh 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 ID6507893989
PECOS Enrollment IDI20060728000380
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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
521 services502 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
211 services124 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
211 services141 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
207 services152 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
166 services166 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
133 services118 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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
Scored as part of a group practice

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%130 patients5/55-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.

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.

USHA A SINGHI M.D.
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 505
NOVI, MI 48374
Oakland County (248) 465-4163
DR. SERGE ALEXANDER SORSER MD
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 350
NOVI, MI 48374
Oakland County (248) 662-4110
MUNE GOWDA MD PLLC
Specialist
26850 PROVIDENCE PKWY, SUITE 125
NOVI, MI 48374
Oakland County (248) 305-8400
ASHLEY BRAUER DPT
Physical Therapist
26850 PROVIDENCE PKWY
NOVI, MI 48374
Oakland County (248) 380-3550
RAMACHANDRA KOLACHALAM, MD PC
Surgery
26850 PROVIDENCE PKWY, #460
NOVI, MI 48374
Oakland County (586) 751-6034
ROBERT A CARTER M.D.
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374
Oakland County (248) 662-4200
LAWRENCE JOSEPH COLLINS LLP
Psychologist
26850 PROVIDENCE PKWY, SUITE 410
NOVI, MI 48374
Oakland County (248) 465-4335
HENRY FORD SEMI MEDICAL GROUP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26850 PROVIDENCE PKWY
NOVI, MI 48374
Oakland County (248) 680-8000

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 Avninder Dhaliwal's NPI number?

The NPI number for Avninder Dhaliwal is 1669417408. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Avninder Dhaliwal located?

Avninder Dhaliwal practices at 26850 Providence Pkwy Suite 240, Novi, MI 48374. The listed phone number is (248) 697-2822.

What is Avninder Dhaliwal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Avninder Dhaliwal enrolled in Medicare?

Yes. Avninder 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 Avninder Dhaliwal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Avninder 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.

When was this NPI record last updated?

The NPPES record for Avninder Dhaliwal was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.