Individual provider Active NPI

Shiv Kumar Aggarwal, M.D.

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1376552075
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0061805 Issued in FL
Practice address
5522 Trouble Creek Rd
Ste 100
New Port Richey, FL 34652-5171
Phone
(727) 842-7088
Fax
(727) 848-6731
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0061805 FL Primary

Addresses

Primary practice location

5522 Trouble Creek Rd
Ste 100
New Port Richey, FL 34652-5171

Mailing address

5522 Trouble Creek Rd
Ste 100
New Port Richey, FL 34652-5171
Phone (727) 842-7088

Other identifiers 6

IdentifierTypeStateIssuer
104185OtherFLAVMED
27496OtherFLWELLCARE
370969800MedicaidFL
110138830OtherFLRAILROAD MEDICARE
14914OtherFLBLUE CROSS BLUE SHIELD
4237256OtherFLAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000430 FL Practitioner - Internal Medicine 5890715981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

5522 Trouble Creek Rd
Suite 100
New Port Richey, FL 34652-5171
Phone (727) 842-7088

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, Clearwater, FL, CCN 108467

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shiv Aggarwal MD PA Internal Medicine CurrentSince Apr 6, 1992 Accepting new patients

Locations

5522 Trouble Creek Rd
Ste 100
New Pt Richey, FL 34652
Phone (727) 842-7088

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1376552075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 TROUBLE CREEK RD",
            "address_2": "STE 100",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525171",
            "telephone_number": "727-842-7088",
            "fax_number": "727-848-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 TROUBLE CREEK RD",
            "address_2": "STE 100",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525171",
            "telephone_number": "727-842-7088",
            "fax_number": "727-848-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "SHIV",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0061805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "104185",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "27496",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370969800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110138830",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14914",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4237256",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.