Organization Active NPI

Apollo Health PLLC

  • Internal Medicine Physician
  • Gig Harbor, WA
National Provider Identifier
1023604162
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
APOLLO HEALTH PLLC
Practice address
5401 32ND Ave Ste 106
Gig Harbor, WA 98335-6308
Phone
(248) 346-2398
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Abhinav AgarwalNPI 1659538072
Title
Owner
Phone
(248) 346-2398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5401 32ND Ave Ste 106
Gig Harbor, WA 98335-6308

Mailing address

5401 32ND Ave Ste 106
Gig Harbor, WA 98335-6308

Other practice location 1

6010 63rd Avenue Ct NW
Gig Harbor, WA 98335-7389
Phone (248) 346-2398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210215001355 WA Part B Supplier - Clinic/Group Practice 8426463902 Receives reassigned benefits from 4 practitioners
Practice locations: Gig Harbor, WA

National Provider Directory

National Provider Directory

Locations

5401 32nd Ave
Gig Harbor, WA 98335

5401 32nd Ave
Ste 106
Gig Harbor, WA 98335
Phone (248) 346-2398

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1023604162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 32ND AVE STE 106",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 32ND AVE STE 106",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356308",
            "telephone_number": "248-346-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 63rd Avenue Ct NW",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983357389",
            "country_code": "US",
            "telephone_number": "248-346-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APOLLO HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ABHINAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-346-2398"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.