Individual provider Active NPI

Manish Agrawal, M.D.

  • Hematology & Oncology Physician
  • Rockville, MD
National Provider Identifier
1275614984
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0062234 Issued in MD
Practice address
9707 Medical Center Dr
Suite 300
Rockville, MD 20850-3348
Phone
(301) 424-6231
Fax
(301) 294-4648
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0062234 MD Primary

Addresses

Primary practice location

9707 Medical Center Dr
Suite 300
Rockville, MD 20850-3348

Mailing address

9707 Medical Center Dr
Suite 300
Rockville, MD 20850-3348
Phone (301) 424-6231

Other identifiers 1

IdentifierTypeStateIssuer
406991900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040823001405 DC Practitioner - Hematology/Oncology 8325012560
I20190327002691 MD Practitioner - Hematology/Oncology 8325012560 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062234MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstone Medical PC CurrentSince Apr 7, 2022 Accepting new patients
Maryland Oncology Hematology P.a. Hematology & Oncology CurrentSince Feb 10, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11720 Beltsville Dr
Ste 300
Beltsville, MD 20705

10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

9905 Medical Center Dr
Ste 200
Rockville, MD 20850
Phone (301) 424-6231

9905 Medical Center Dr
Ste 350
Rockville, MD 20850
Phone (301) 750-3401

Interoperability endpoints

  • Direct secure messaging: manish.agrawal@mdonc.ikm.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJCDD/Endpoint/AFJCDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1275614984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-424-6231",
            "fax_number": "301-294-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-424-6231",
            "fax_number": "301-294-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "MANISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0062234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406991900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.