Individual provider Active NPI

Meera Agarwal, M.D

  • Addiction Medicine (Anesthesiology) Physician
  • Port Charlotte, FL
National Provider Identifier
1285615633
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
ME154333 Issued in FL
Practice address
20580 Veterans Blvd
Port Charlotte, FL 33954-2216
Phone
(419) 934-3939
NPI assigned
Nov 10, 2005
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X ME154333 FL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35048352 OH

Addresses

Primary practice location

20580 Veterans Blvd
Port Charlotte, FL 33954-2216

Mailing address

106 Sycamore Woods LN
Tiffin, OH 44883-3290
Phone (419) 934-3939

Other identifiers 1

IdentifierTypeStateIssuer
0562127MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME154333FLMDAddiction Medicine (Anesthesiology) Physician
35048352OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffin Anesthesia Associates CurrentSince Jan 1, 1990 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

485 W Market St
Tiffin, OH 44883
Phone (419) 448-1900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1285615633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SYCAMORE WOODS LN",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833290",
            "telephone_number": "419-934-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20580 VETERANS BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542216",
            "telephone_number": "419-934-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "MEERA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "FL",
            "license": "ME154333",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35048352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0562127",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.