Active NPI
Vibhuti Agarwal, M.D.
- Pediatric Hematology & Oncology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- ME117009
- Practice address
- 6535 Nemours Pkwy
Orlando, FL 32827-7884 - Phone
- (407) 650-7230
- Fax
- (407) 650-7233
- NPI assigned
- May 6, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | TRN14669 | FL | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | ME117009 | FL | Primary |
Addresses
Primary practice location
6535 Nemours Pkwy
Orlando, FL 32827-7884
Mailing address
6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (407) 650-7230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201031 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vibhuti.agarwal@nemours.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN14669 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
5153 N 9th Ave
Pensacola, FL 32504
Phone (850) 416-1575
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
Interoperability endpoints
- vagarwal30141@direct.nemours.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Pediatrics
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1275851982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277884",
"telephone_number": "407-650-7230",
"fax_number": "407-650-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277884",
"telephone_number": "407-650-7230",
"fax_number": "407-650-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "VIBHUTI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "TRN14669",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "FL",
"license": "ME117009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201031",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vibhuti.agarwal@nemours.org",
"affiliation": "N",
"address_1": "6535 Nemours Pkwy",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328277884",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.