NPIMap

Individual provider Active NPI

Pallak Agarwal, MD

  • Pulmonary Disease Physician
  • Wyomissing, PA
National Provider Identifier
1063766574
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD455853 Issued in PA
Practice address
2608 Keiser Blvd
Wyomissing, PA 19610-4238
Phone
(610) 685-5864
Fax
(610) 929-1528
NPI assigned
Nov 6, 2012
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD455853 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD455853 PA
Pulmonary Disease Physician 207RP1001X MD455853 PA Primary

Addresses

Primary practice location

2608 Keiser Blvd
Wyomissing, PA 19610-4238

Mailing address

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Other practice location 1

193 Old Swede Road
Douglassville, PA 19518-1522
Phone (610) 685-5864

Other practice location 2

1011 W Baltimore Pike
West Grove, PA 19390-9446
Phone (610) 685-5864

Other practice location 3

3400 Spruce St
2009 Penn Tower
Philadelphia, PA 19104-4238
Phone (215) 662-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150902001329 PA Practitioner - Internal Medicine 9931415189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory Specialists LTDGroup PAC ID 6204812076, 18 clinicians

Practice addresses (Care Compare)

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.57 of 100Reported as group
Quality
58.95
Promoting interoperability
60
Improvement activities
40
Cost
79.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455853PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Specialists LTD Critical Care Medicine CurrentSince Aug 5, 2019 Accepting new patients
Reading Hospital Internal Medicine Past Accepting new patients

Locations

193 Old Swede Rd
Douglassville, PA 19518
Phone (610) 385-3010

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1011 W Baltimore Pike
West Grove, PA 19390
Phone (215) 869-1074

2608 Keiser Blvd
Wyomissing, PA 19610
Phone (610) 929-5864

Interoperability endpoints

  • Direct secure messaging: pagarwal@respiratoryspecialists.medentdirect.com

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1063766574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196104238",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Old Swede Road",
            "address_purpose": "LOCATION",
            "city": "Douglassville",
            "state": "PA",
            "postal_code": "195181522",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 W Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909446",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 SPRUCE ST",
            "address_2": "2009 PENN TOWER",
            "address_purpose": "LOCATION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "PALLAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD455853",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD455853",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD455853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.