Prachi Agarwal, MD
Individual provider Active NPI Pediatrics Physician · Scranton, PA
NPI 1386296341 · NPPES record last updated Jul 1, 2022
Key facts
- NPI
- 1386296341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD477619 (PA)
- Practice address
- 501 S Washington Ave
Scranton, PA 18505-3814 - Phone
- (570) 591-5264
- Fax
- (570) 591-5209
- NPI assigned
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221228002873 | PA | Practitioner - Pediatric Medicine | 1456721828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wright Center Medical Group | Multi-Specialty | Current |
Accepting new patients |
| The Wright Center Medical Group | Multi-Specialty | Current |
Accepting new patients |
Locations
260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150
103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545
1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980
5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019
1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280
501 S Washington Ave
Scranton, PA 18505
Phone (570) 591-5153
312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567
329 Cherry St
Ste 1B
Scranton, PA 18505
Phone (570) 591-5250
501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058
200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253
1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335
169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147
Interoperability endpoints
- pagarwal@thewrightcenter.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician |
208000000X | MD477619 | PA | Yes |
Addresses
Primary practice location
501 S Washington Ave
Scranton, PA 18505-3814
Mailing address
21 Briarwood Way
South Abington Township, PA 18411-9094
Phone (408) 507-8005
Other practice location 1
300 2nd Ave
Long Branch, NJ 07740-6303
Phone (732) 923-7251
Other providers in Scranton, PA
- Muhammad Affan
- Affiliated Pediatric Dentistry
- Cameron Afshari
- Henry Aftewicz Jr.
- Jean-Luc Keean Doruist Agard
- Rashita Aggarwal
- Karla Aguirre
- Valarie Ahlstrand
- Aliy Mirza Ahmed
- Mohamed Yaser Yousif Ahmed
All providers in Scranton, PA · Pediatrics Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.