Active NPI
Krishan Kumar Aggarwal, MD
- Internal Medicine Physician
- Weirton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11400
- Practice address
- 3710 Pennsylvania Ave
Weirton, WV 26062-4129 - Phone
- (304) 723-2430
- Fax
- (304) 723-6039
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11400 | WV | Primary |
| Internal Medicine Physician | 207R00000X | 35066253 | OH |
Addresses
Primary practice location
3710 Pennsylvania Ave
Weirton, WV 26062-4129
Mailing address
3710 Pennsylvania Ave
Weirton, WV 26062-4129
Phone (304) 723-2430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357680 | Medicaid | OH | |
| 0070564000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
651 Colliers Way
Weirton, WV 26062-5053
Phone (304) 797-6557
651 Colliers Way
Weirton, WV 26062-5055
Hospital & facility affiliations
- Weirton Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.84 of 100
- Quality
- 35.62
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 70.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 63 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11400 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri State Sleep Clinic | Current | Accepting new patients |
Locations
3710 Pennsylvania Ave
Ste 2
Weirton, WV 26062
Phone (304) 224-1230
3710 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 723-2430
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 and National Provider Directory roles.
-
- Sleep Disorder Diagnostic Clinic/Center
- Weirton, WV
- NPI 1649417213
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weirton, WV
- NPI 1619921947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1194712299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 PENNSYLVANIA AVE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624129",
"telephone_number": "304-723-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 PENNSYLVANIA AVE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624129",
"telephone_number": "304-723-2430",
"fax_number": "304-723-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGARWAL",
"first_name": "KRISHAN",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "11400",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35066253",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0357680",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0070564000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.