NPIMap

Individual provider Active NPI

Niraj Kumar Agarwalla, D.O.

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1023374204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS018089 Issued in PA
Practice address
111 S 11TH Street
Suite 8490
Philadelphia, PA 19107-4824
Phone
(215) 955-6161
Fax
(215) 923-5507
NPI assigned
Apr 2, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS018089 PA Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X OS018089 PA

Addresses

Primary practice location

111 S 11TH Street
Suite 8490
Philadelphia, PA 19107-4824

Mailing address

111 S 11TH St
Suite 8280
Philadelphia, PA 19107-4824
Phone (215) 955-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170822003442 PA Practitioner - Anesthesiology 6901107770 Reassigns benefits to 8 organizations
I20220913003272 OH Practitioner - Anesthesiology 6901107770

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove City Anesthesia and Pain Management, PLLCGroup PAC ID 4688860455, 61 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9000

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

320 E N Ave
Pittsburgh, PA 15212-4756

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS018089PAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Jul 25, 2017 Accepting new patients
Guthrie Medical Group, P.C. Anesthesiology CurrentSince Feb 14, 2022 Accepting new patients
Jefferson University Physicians Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Guthrie Medical Group, P.C. Anesthesiology CurrentSince Feb 14, 2022 Accepting new patients
Grove City Anesthesia & Pain Management, PLLC Anesthesiology CurrentSince Oct 8, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services Critical Care Medicine CurrentSince Jul 25, 2017 Accepting new patients
Tower Health Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

111 S 11th St
Ste 8280
Philadelphia, PA 19107
Phone (215) 955-2370

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: nagarwalla171746@direct-guthrie.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023374204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 8280",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-2370",
            "fax_number": "215-955-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH STREET",
            "address_2": "SUITE 8490",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6161",
            "fax_number": "215-923-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWALLA",
        "first_name": "NIRAJ",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS018089",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "PA",
            "license": "OS018089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.