Nayan Agarwal, M.D.
Individual provider Active NPI Radiation Oncology Physician · Jackson, MS
NPI 1003602319 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1003602319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- T-5931 (MS)
- Practice address
- 2500 N State Street
Jackson, MS 39216 - Phone
- (601) 984-1000
- NPI assigned
- Apr 15, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251124000142 | MS | Order and Referring Only - Internal Medicine |
7810489283 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-5931 | MS | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | T-5931 | MS | Yes |
| Internal Medicine Physician | 207R00000X | T-5931 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | T-5931 | MS |
Addresses
Primary practice location
2500 N State Street
Jackson, MS 39216
Mailing address
2500 N State Street
Jackson, MS 39216
Other providers in Jackson, MS
- Afnb Home Care LLC
- Afnb Home Care LLC
- Afnb Home Care LLC
- Sabahat Afshan
- Agape Medical Services
- Emmanuel Delase Agbeti
- Joshua Agee
- Agilitas USA Inc
- James Graham Ahlrich
- Bilal Ahmad
All providers in Jackson, MS · Radiation Oncology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.