Individual provider Active NPI

Nupur Aggarwal, MD

  • Internal Medicine Physician
  • Monterey, CA
National Provider Identifier
1164680336
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C161088 Issued in CA
Practice address
2 Upper Ragsdale Dr BLDG a
Monterey, CA 93940-5736
Phone
(313) 333-3040
Fax
(831) 886-1529
NPI assigned
May 23, 2008
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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 273240 MA
Internal Medicine Physician 207R00000X 75844871205 UT
Internal Medicine Physician 207R00000X C161088 CA Primary

Addresses

Primary practice location

2 Upper Ragsdale Dr BLDG a
Monterey, CA 93940-5736

Mailing address

2 Upper Ragsdale Dr BLDG a
Monterey, CA 93940-5736
Phone (831) 333-3040

Other practice location 1

2344 Boston Rd
Wilbraham, MA 01095-1104
Phone (413) 596-5550

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
I20190411003193 CA Practitioner - Internal Medicine 0244367399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians

Practice addresses (Care Compare)

2 Upper Ragsdale Dr
BLDG a
Monterey, CA 93940-5736
Phone (831) 718-9701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C161088CAMDInternal Medicine Physician
75844871205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Hospitalist Medical Group Internal Medicine CurrentSince Jul 15, 2019 Accepting new patients
Montage Medical Group Internal Medicine CurrentSince Apr 15, 2019 Accepting new patients
Geisinger Clinic Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients
Baystate Wing Hospital Corporation PastSince Dec 14, 2017 Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

2 Upper Ragsdale Dr
Bldg A
Monterey, CA 93940
Phone (831) 333-3040

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

Organizations & group practices 5

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1164680336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR BLDG A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405736",
            "telephone_number": "831-333-3040",
            "fax_number": "831-886-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR BLDG A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405736",
            "telephone_number": "313-333-3040",
            "fax_number": "831-886-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2344 Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951104",
            "country_code": "US",
            "telephone_number": "413-596-5550",
            "fax_number": "413-794-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "NUPUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "273240",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "75844871205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C161088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.