Kanu B Dalal, MD in Port Huron, MI

Kanu B Dalal, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Port Huron, Michigan. His current practice location is 1221 Pine Grove Ave, Radiology Dept, Port Huron, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 987-5000.

Kanu B Dalal is licensed to practice in Michigan (license number 4301042934) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215949060.

Contact Information

	Kanu B Dalal, MD
	1221 Pine Grove Ave, Radiology Dept, Port Huron, MI 48060-3511
	(810) 987-5000
	(810) 985-0032

Map and Direction

Physician's Profile

Full Name	Kanu B Dalal
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	1221 Pine Grove Ave, Port Huron, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215949060
Provider Enumeration Date: 08/12/2006
Last Update Date: 09/25/2013

Medicare PECOS Information:

PECOS PAC ID: 7911995386
Enrollment ID: I20050620000086

Medical Identifiers

Medical identifiers for Kanu B Dalal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215949060	NPI	-	NPPES
1947181	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	042934 (Michigan)	Secondary
2085R0203X	Radiology - Therapeutic Radiology	4301042934 (Michigan)	Secondary
2085R0001X	Radiology - Radiation Oncology	4301042934 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kanu B Dalal allows following entities to bill medicare on his behalf.

Entity Name	Prime Healthcare Services-port Huron Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902407844 PECOS PAC ID: 7214245208 Enrollment ID: O20210122000168

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kanu B Dalal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kanu B Dalal, MD 1221 Pine Grove Ave, Radiology Dept, Port Huron, MI 48060-3511 Ph: (810) 987-5000	Kanu B Dalal, MD 1221 Pine Grove Ave, Radiology Dept, Port Huron, MI 48060-3511 Ph: (810) 987-5000

Reviews and Comments

Radiology Doctors in Port Huron, MI

David P Tracy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032
Clare A Scheurer Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032
Sameh A S A Saif, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-989-3172
Kaneez Batool Shaikh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Avenue, Suite 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032
Rajeev Srinivasa Aravapalli, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000
Herminio C Calderon, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032

Kanu B Dalal, MD - Medicare Radiology in Port Huron, MI