Archana Mishra Agarwal, M.D.
Individual provider Active NPI Hematology (Pathology) Physician · Salt Lake City, UT
NPI 1245488667 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1245488667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology (Pathology) Physician 207ZH0000X
- License
- 5990116-1205 (UT)
- Practice address
- 15 Medical Dr
Emma Eccles Jones Medical Sci, RM 2100
Salt Lake City, UT 84112-1100 - Phone
- (801) 581-2507
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Adult Services
Practice addresses (Care Compare)
1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Phone (801) 581-2121
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995
Hospital & facility affiliations
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.77 of 100
- Quality
- 91.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 |
|---|---|---|---|---|
| I20110104000093 | UT | Practitioner - Pathology | 8729276902 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 5990116-1205 | UT | |
| Hematology (Pathology) Physician | 207ZH0000X | 5990116-1205 | UT | Yes |
Addresses
Primary practice location
15 Medical Dr
Emma Eccles Jones Medical Sci, RM 2100
Salt Lake City, UT 84112-1100
Mailing address
2021 Ribbon LN
Holladay, UT 84117-4323
Phone (801) 414-1907
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00907158 | Other | UT | RAILROAD MEDICARE PTAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aagarwal94362@direct.med.utah.edu | Direct | University of Utah |
Other providers in Salt Lake City, UT
- Syed Daniyal Afroz
- Miquela Afshar
- Brittany Afu
- Aminat Olayinka Agaba
- Zara Agadjanian
- Cori Ann Agarwal
- Jayant Prasad Agarwal
- Neeraj Agarwal
- Tejita Agarwal
- Mary Kathleen K. Agarwala
All providers in Salt Lake City, UT · Hematology (Pathology) Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. 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.