Individual provider Active NPI

Jaya R Agrawal, M.D.

  • Gastroenterology Physician
  • Florence, MA
National Provider Identifier
1316979842
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
226227 Issued in MA
Practice address
10 Main St
Hampshire Gastroenterology Associates, LLC
Florence, MA 01062-3160
Phone
(413) 586-8910
Fax
(413) 584-7270
NPI assigned
Jul 7, 2006
Last updated
Feb 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 226227 MA
Gastroenterology Physician 207RG0100X 226227 MA Primary

Addresses

Primary practice location

10 Main St
Hampshire Gastroenterology Associates, LLC
Florence, MA 01062-3160

Mailing address

10 Main St
Hampshire Gastroenterology Associates, LLC
Florence, MA 01062-3160
Phone (413) 586-8910

Other identifiers 1

IdentifierTypeStateIssuer
110083595AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090929000368 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 9739235011 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226227MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampshire Gastroenterology Associates, LLC Gastroenterology CurrentSince Aug 15, 2011 Accepting new patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Dec 21, 2018 Accepting new patients
Middlesex Gasteroentology PC Past Accepting new patients

Locations

10 Main St
Ste 2
Florence, MA 01062
Phone (413) 586-8910

10 Main St
Northampton, MA 01062
Phone (413) 341-9400

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

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, 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1316979842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "HAMPSHIRE GASTROENTEROLOGY ASSOCIATES, LLC",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623160",
            "telephone_number": "413-586-8910",
            "fax_number": "413-584-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "HAMPSHIRE GASTROENTEROLOGY ASSOCIATES, LLC",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623160",
            "telephone_number": "413-586-8910",
            "fax_number": "413-584-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "JAYA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "226227",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "226227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110083595A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.