SHAMAN MILAN DALAL MD
NPI 1720574460
Internal Medicine - Gastroenterology in Philadelphia, PA

Q: What is Shaman Dalal's NPI number?

The NPI number for Shaman Dalal is 1720574460. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Shaman Dalal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Shaman Dalal was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment

1101 CHESTNUT ST, PHILADELPHIA, PA 19107(215) 955-8900 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Jul 5, 2018 (2 updates tracked since 2018).

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About Shaman Milan Dalal Md NPPES

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

SHAMAN MILAN DALAL MD (NPI 1720574460) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484093) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720574460

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSHAMAN MILAN DALALCredential: MD

Location Address1101 CHESTNUT STPhiladelphia, PA 19107-3612

Mailing Address132 S 10th Street, 480 Main BuildingPhiladelphia, PA 19107-5244 · (215) 955-8900

Phone(215) 955-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 5, 2018

Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration

NPPES CertifiedOctober 28, 2024

✔ NPI 1720574460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD484093

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1101 CHESTNUT ST, Philadelphia, PA 19107

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Other Identifiers 1

OtherMD484093PA · License

Accepted Insurance

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

Shaman Milan Dalal Md 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 ID749537769

PECOS Enrollment IDI20240611004782

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services14 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

EMILY RUBIN R.D.

Dietitian, Registered

1101 CHESTNUT ST
PHILA, PA 19107

Philadelphia County (215) 955-8900

LAUREL VIRGINIA KOVALCHICK MD

Psychiatry & Neurology (Neurology)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1234

CHRISTOPHER JAMES ADKINS M.D.

Internal Medicine (Gastroenterology)

1101 CHESTNUT ST
PHILA, PA 19107

Philadelphia County (215) 955-8900

SARAH F ADAMS CCC-SLP

Speech-Language Pathologist

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6760

REBECCA LOH

Internal Medicine (Gastroenterology)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-8900

EDDIE DIAZ SERRANO AUD

Audiologist

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6760

RORY MARGARET ANDERSON CRNP

Nurse Practitioner (Family)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (800) 533-3669

MAEVE CALLAHAN CRNP

Nurse Practitioner (Adult Health)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (800) 533-3669

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 Shaman Dalal's NPI number?

The NPI number for Shaman Dalal is 1720574460. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Shaman Dalal located?

Shaman Dalal practices at 1101 Chestnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-8900.

What is Shaman Dalal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shaman Dalal enrolled in Medicare?

Yes. Shaman Dalal 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 Shaman Dalal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shaman Dalal 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 Shaman Dalal affiliated with any hospitals?

According to CMS data, Shaman Dalal is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Shaman Dalal was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.