Active NPI
Sajat Agarwal, MD
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME129862
- Practice address
- 5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327 - Phone
- (727) 824-0780
- Fax
- (813) 514-8891
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME129862 | FL | Primary |
Addresses
Primary practice location
5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Mailing address
5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Phone (727) 824-0780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IZ974Z | Other | FL | MEDICARE |
| 021201300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sajat.agarwal@conviva.eclinicaldirectplus.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1150 Bell Shoals Rd
Brandon, FL 33511-9001
Phone (813) 681-6064
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
932 Candlelight Blvd
Brooksville, FL 34601-3116
Phone (352) 345-8185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME129862 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare South Tampa, LLC | Internal Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Verimed Health Group Brooksville LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Verimed Health Group South Tampa LLC | Internal Medicine | Current | Accepting new patients |
| Verimed Health Group Bell Shoals, LLC | Current | Accepting new patients | |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
1150 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 681-6064
932 Candlelight Blvd
Brooksville, FL 34601
Phone (352) 345-8185
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2919 W Swann Ave
Ste 400A
Tampa, FL 33609
Phone (813) 871-2953
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- sajat.agarwal@conviva.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/CDACDA
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Primary Care Clinic/Center
- Brandon, FL
- NPI 1750018560
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1194311407
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1801140561
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1538357454
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1356565253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 SUNFOREST DR STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346327",
"telephone_number": "727-824-0780",
"fax_number": "813-514-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 SUNFOREST DR STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346327",
"telephone_number": "727-824-0780",
"fax_number": "813-514-8891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "SAJAT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME129862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IZ974Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021201300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sajat.agarwal@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3854 Britton Plz",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336111406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.