Active NPI
Amit Agrawal, M.D.
- Neonatal-Perinatal Medicine Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 45671
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 779-2120
- NPI assigned
- Sep 19, 2007
- Last updated
- Jun 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 45671 | AZ | Primary |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
7720 N 16TH St
Suite 425
Phoenix, AZ 85020-4492
Phone (602) 476-8962
Other practice location 1
7720 N 16th St
Suite 425
Phoenix, AZ 85020-4492
Phone (602) 476-8962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Pediatrics | Current | Accepting new patients |
| Hospital Development of West Phoenix Inc | Past | Accepting new patients | |
| Banner Thunderbird Medical Center | Past | Accepting new patients | |
| Desert Neonatology Associates | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| VHS of Arrowhead, Inc | Past | Accepting new patients | |
| Arizona OB GYN Affiliates PC | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
Interoperability endpoints
- aagrawal169671@ahs.direct-ci.com
- amit.agrawal.1@14294.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Pediatrics
-
dba Northern Arizona Healthcare Children's Health Center
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Specialist
- Phoenix, AZ
- NPI 1750589404
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
-
- Neonatal-Perinatal Medicine Physician
- Phoenix, AZ
- NPI 1205054855
-
dba Abrazo West Campus and Abrazo Maryvale Campus
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1306032701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7720 N 16TH ST",
"address_2": "SUITE 425",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204492",
"telephone_number": "602-476-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-779-2120"
}
],
"practiceLocations": [
{
"address_1": "7720 N 16th St",
"address_2": "Suite 425",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850204492",
"country_code": "US",
"telephone_number": "602-476-8962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGRAWAL",
"first_name": "AMIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "45671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.