UMESH I DALAL M.D.
NPI 1790896082
Internal Medicine - Nephrology in Stroudsburg, PA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1619 N 9TH ST, SUITE 2A, STROUDSBURG, PA 18360(610) 628-7920(610) 821-2853 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Umesh I Dalal M.d. NPPES

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

UMESH I DALAL M.D. (NPI 1790896082) is an individual nephrology provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD 046225-L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1790896082
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameUMESH I DALALCredential: M.D.
Location Address1619 N 9TH ST, SUITE 2AStroudsburg, PA 18360-6501
Mailing Address1619 N 9th St, Suite 2aStroudsburg, PA 18360-6501 · (610) 628-7920 · Fax (610) 821-2853
Fax(610) 821-2853
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 15, 2016
NPI 1790896082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in PA · MD 046225-L
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD 046225-L (PA)
1619 N 9TH ST, Stroudsburg, PA 18360

Other Identifiers 3

Medicare UPINF 06997
Medicaid12938470006PA
Medicare PIN724490PA

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

Umesh I Dalal 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 ID2365444916
PECOS Enrollment IDI20100316000120
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 13

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 office or other outpatient visit, 30-39 minutes 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.
593 services353 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
544 services35 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
467 services161 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
214 services83 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
127 services115 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
102 services50 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

St Luke's Hospital - Anderson Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390326
Location1872 St Luke's BlvdEaston, PA 18045 · Northampton County
Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers19 claims1,965 services$0.36 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims1,800 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers18 claims2,160 services$0.90 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers24 claims24 services$18.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers27 claims36 services$12.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Optometrist
1619 N 9TH ST, SUITE 1
STROUDSBURG, PA 18360
Hearing Aid Equipment
1619 N 9TH ST, STROUD COMMONS
STROUDSBURG, PA 18360
Internal Medicine (Nephrology)
1619 N 9TH ST, SUITE 2A
STROUDSBURG, PA 18360
Internal Medicine (Nephrology)
1619 N 9TH ST, SUITE 2A
STROUDSBURG, PA 18360
Hearing Instrument Specialist
1619 N 9TH ST
STROUDSBURG, PA 18360
Hearing Instrument Specialist
1619 N 9TH ST
STROUDSBURG, PA 18360
Hearing Instrument Specialist
1619 N 9TH ST
STROUDSBURG, PA 18360
Family Medicine
1619 N 9TH ST
STROUDSBURG, PA 18360

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 Umesh Dalal's NPI number?

The NPI number for Umesh Dalal is 1790896082. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Umesh Dalal located?

Umesh Dalal practices at 1619 N 9th St Suite 2A, Stroudsburg, PA 18360. The listed phone number is (610) 628-7920.

What is Umesh Dalal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Umesh Dalal enrolled in Medicare?

Yes. Umesh 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.

Is Umesh Dalal affiliated with any hospitals?

According to CMS data, Umesh Dalal is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital - Pocono, St Luke's Hospital - Anderson Campus and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Umesh Dalal was last updated on March 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.