Nikitasha Aggarwal, DO
Individual provider Active NPI Family Medicine Physician · Centralia, WA
NPI 1063904696 · NPPES record last updated Apr 9, 2026
Key facts
- NPI
- 1063904696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OP61520884 (WA)
- Practice address
- 1010 S Scheuber Rd Ste 3&4
Centralia, WA 98531-8892 - Phone
- (360) 827-7966
- Fax
- (360) 827-7977
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services Washington
Practice addresses (Care Compare)
1010 S Scheuber Rd
Centralia, WA 98531-8892
Phone (360) 827-7966
525 Lilly Rd NE
Olympia, WA 98506-5101
Hospital & facility affiliations
- Assured Home Health and Hospice
- Providence Centralia Hospital
- Providence St Peter Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20240612003749 | WA | Practitioner - Family Practice | 5496090748 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61520884 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Community Health Services | Current |
Accepting new patients | |
| Lewis County Community Health Services | Current |
Accepting new patients | |
| Providence Health & Services Washington | Family Medicine | Current |
Accepting new patients |
| Providence Health & Services Washington | Current |
Accepting new patients | |
| Lewis County Community Health Services | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1800 Cooks Hill Rd
Ste F
Centralia, WA 98531
Phone (360) 330-8939
1800 Cooks Hill Rd
Ste G
Centralia, WA 98531
Phone (360) 736-3042
1010 S Scheuber Rd
Ste 34
Centralia, WA 98531
Phone (360) 827-7966
2690 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 330-9595
1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
Interoperability endpoints
- naggarwal3279857@wm.providencedirect.org
- nikitasha.aggarwal.p1@direct.valleyviewhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61520884 | WA | Yes |
Addresses
Primary practice location
1010 S Scheuber Rd Ste 3&4
Centralia, WA 98531-8892
Mailing address
1010 S Scheuber Rd Ste 3&4
Centralia, WA 98531-8892
Phone (360) 827-7966
Other providers in Centralia, WA
- Advanced Mobility Repair
- Advanced Rehabilitation Specialties Inc.
- Advanced Rehabilitation, Inc
- Katherine Ann Afuola
- Arinze Paul Agbapuru
- Hardik Ajudia
- Tevin Maurice Akin
- Rex William Akins Sr.
- Irene Beatrice Akinyi
- Mohammed Al Qaraghouli
All providers in Centralia, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.