NPIMap

Individual provider Active NPI

Amol Agarwal, MD

  • Gastroenterology Physician
  • Clive, IA
National Provider Identifier
1043604473
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD-48190 Issued in IA
Practice address
1378 NW 124TH St
Clive, IA 50325-8151
Phone
(515) 288-6097
Fax
(515) 288-8335
NPI assigned
Mar 24, 2015
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD-48190 IA Primary

Addresses

Primary practice location

1378 NW 124TH St
Clive, IA 50325-8151

Mailing address

1378 NW 124TH St
Clive, IA 50325-8151
Phone (515) 288-6097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702001516 IA Practitioner - Gastroenterology 4183943665 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Perelman School of Med at the University of Pennsylvania, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Digestive Disease Center PCGroup PAC ID 4183522188, 24 clinicians

Practice addresses (Care Compare)

1378 NW 124TH St
Suite 200
Clive, IA 50325-8151
Phone (515) 288-6097

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy105
Upper gastrointestinal (GI) endoscopy for acid reflux134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-48190IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Jan 9, 2024 Accepting new patients
Greene County Medical Center Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Greene County Medical Center Gastroenterology CurrentSince Jun 1, 2023 Accepting new patients
Greene County Medical Center Current Accepting new patients
Iowa Digestive Disease Center P.C. Gastroenterology CurrentSince Aug 1, 2021 Accepting new patients
Greene County Medical Center CurrentSince Jun 1, 2023 Accepting new patients
Iowa Endoscopy Center, Inc. PastSince Mar 20, 2022 Accepting new patients

Locations

1378 NW 124th St
Clive, IA 50325
Phone (515) 288-6097

1378 NW 124th St
Ste 200
Clive, IA 50325
Phone (515) 288-6097

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

Interoperability endpoints

  • Direct secure messaging: aagarwal3938120@direct.trinity-health.org
  • Direct secure messaging: aagarwal838955@direct.unitypoint.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1043604473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 NW 124TH ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258151",
            "telephone_number": "515-288-6097",
            "fax_number": "515-288-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 NW 124TH ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258151",
            "telephone_number": "515-288-6097",
            "fax_number": "515-288-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "AMOL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "MD-48190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.