Pradeep K Agarwal, MD LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

36655 Issued in AZ

Legal business name

PRADEEP K AGARWAL, MD LLC

Practice address

13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4264

Phone

(602) 531-1155

Fax

(623) 876-3862

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Pradeep K Agarwal, MDNPI 1780653840

Title

Provider

Phone

(623) 583-2073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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

• Pradeep Kumar Agarwal, MD

  • Interventional Cardiology Physician
  • Peoria, AZ
  • NPI 1780653840
  Medicare reassignment Authorized official
• Daniel Bozinovich, M.D.

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1518925460
  NPD (past)
• James M Gordon, M.D.

  • Gastroenterology Physician
  • Peoria, AZ
  • NPI 1780662320
  NPD (past)
• Pritpal Sandhu, M.D.

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1548397995
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1104259639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853801149",
            "telephone_number": "623-583-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814264",
            "telephone_number": "602-531-1155",
            "fax_number": "623-876-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADEEP K AGARWAL, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "623-583-2073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "36655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Powell, PHARM D
• Tyler Reed Powell, D.C.
• Power Back Batteries LLC
• Amber Powers
• Lucinda Pelkey Powers
• Terrence Anil Prasad, DO
• Christine M Pratt, PA
• Brian Edward Prebil, D.O.
• Kenneth Joseph Prebil, M.D.
• Precision Hand and Orthopedic Surgery PLLC

• Cardiovascular Disease Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.