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DR. SIMRAT KAUR DHALIWAL MD
NPI 1932789377
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2021, Apr 22, 2021, Apr 9, 2021 (3 updates tracked since 2021).

About Dr. Simrat Kaur Dhaliwal Md NPPES

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

DR. SIMRAT KAUR DHALIWAL MD (NPI 1932789377) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2021).

NPPES Registry Identity

NPI1932789377
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SIMRAT KAUR DHALIWALCredential: MD
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-5014
Phone(631) 689-8333
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateApril 27, 20213 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1932789377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS RD, Stony Brook, NY 11794
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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 and accepts Medicare assignment

Dr. Simrat Kaur Dhaliwal 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 ID1951866094
PECOS Enrollment IDI20260720003005
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 Simrat Dhaliwal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Suffolk, P.C
6.3 mi
Family Medicine
48 ROUTE 25A, SUITE 210
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Southwest Suffolk Medical PC
  • 348 clinicians in this Medicare group
NPI 1730428467 (631) 465-6225

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

Hospital Affiliations CMS Care Compare

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

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.

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Simrat Dhaliwal's NPI number?

The NPI number for Simrat Dhaliwal is 1932789377. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Simrat Dhaliwal located?

Simrat Dhaliwal practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Simrat Dhaliwal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Simrat Dhaliwal enrolled in Medicare?

Yes. Simrat 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.

Which organization bills Medicare for Simrat Dhaliwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simrat Dhaliwal reassigns Medicare benefits to Southwest Suffolk, P.C (Smithtown, NY). 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 Simrat Dhaliwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Simrat Dhaliwal affiliated with any hospitals?

According to CMS data, Simrat Dhaliwal is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Simrat Dhaliwal was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.