Individual provider Active NPI

Abhishek Agarwal, M.D.

  • Family Medicine Physician
  • Roseville, CA
National Provider Identifier
1124257407
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C149729 Issued in CA
Practice address
1 Medical Plaza Dr
Roseville, CA 95661
Phone
(916) 781-1927
Fax
(916) 781-1787
NPI assigned
Jul 8, 2009
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C149729 CA Primary
Adult Medicine Physician 207QA0505X MD.204015 LA
Adult Medicine Physician 207QA0505X 002494 GA
Hospitalist Physician 208M00000X C149729 CA

Addresses

Primary practice location

1 Medical Plaza Dr
Roseville, CA 95661

Mailing address

PO Box 45680
San Francisco, CA 94145-8824
Phone (530) 626-2787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171215000968 CA Practitioner - HospitalistPractitioner - Family Practice 7618150780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

1095 Marshall Way
Suite 100
Placerville, CA 95667-5722
Phone (530) 626-2920

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C149729CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center Family Medicine CurrentSince Oct 3, 2023 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Oct 17, 2017 Accepting new patients
Marshall Medical Center CurrentSince Oct 3, 2023 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jul 16, 2018 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Jul 16, 2018 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients
Marshall Medical Center Family Medicine Past Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1095 Marshall Way
Ste 100
Placerville, CA 95667
Phone (530) 626-2920

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Interoperability endpoints

  • Direct secure messaging: aagarwal384801@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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 3

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1124257407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45680",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941458824",
            "telephone_number": "530-626-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-781-1927",
            "fax_number": "916-781-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "ABHISHEK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C149729",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "LA",
            "license": "MD.204015",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "002494",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C149729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.