Vivek Agrawal, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD2020-0982 Issued in NM

Practice address

10511 Golf Course Rd NW Ste 201
Albuquerque, NM 87114-5917

Phone

(505) 727-4430

Fax

(505) 727-9590

NPI assigned

Jul 31, 2006

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: vivek.agrawal.1@19849.direct.athenahealth.com

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1275549156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-727-4430",
            "fax_number": "505-727-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-727-4430",
            "fax_number": "505-727-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Clay Edwards Dr Ste 1230",
            "address_purpose": "LOCATION",
            "city": "N Kansas City",
            "state": "MO",
            "postal_code": "64116",
            "country_code": "US",
            "telephone_number": "816-841-3805",
            "fax_number": "816-214-9330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 E Virginia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85004",
            "country_code": "US",
            "telephone_number": "602-258-4788",
            "fax_number": "602-258-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2020-0982",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01054190A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90631846",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farooq P Agha, M.D.
• Asef Aghapour Maleki, DC
• Aging Grace Senior Care LLC
• Irene Agostini, MD
• Lauren Agosto
• Chidozie Charles Agu, M.D.
• Alberto Aguayo Rico, M.D,
• Andrew Michael Aguilar
• Berta Bonita Aguilar, CSW, CPSW
• Brenda Aguilar

• Orthopaedic Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Orthopaedic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.