Individual ProviderDhiren BhalodiaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Dhiren Bhalodia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1114904901Provider TypeIndividualFull NameBhalodia, DhirenTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date12/22/2005Last Updated7/13/2022Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseK7661TexasProvider IdentifiersIDDescriptionIssuerID8EH270DescriptionOtherIssuerBCBSTexasIDP01445847DescriptionOtherIssuerRAILROADTexasID045689907DescriptionMedicaidIssuerUnlistedTexas