NPIMap

Organization Active NPI

Priyanka Agarwal MD PLLC

Doing business as Prime Endocrinology and Diabetes

  • Endocrinology, Diabetes & Metabolism Physician
  • Irving, TX
National Provider Identifier
1396370730
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
PRIYANKA AGARWAL MD PLLC
Doing business as
Prime Endocrinology and Diabetes
Practice address
7429 Las Colinas Blvd Ste 101
Irving, TX 75063-7573
Phone
(469) 442-0202
NPI assigned
Mar 5, 2020
Last updated
May 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2020

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

Authorized official

Name
Dr. Priyanka Agarwal, MDNPI 1326466145
Title
President
Phone
(715) 551-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

7429 Las Colinas Blvd Ste 101
Irving, TX 75063-7573

Mailing address

8308 Charleston St
Irving, TX 75063-8000

Other names 1

  • Prime Endocrinology and Diabetes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200604002147 TX Part B Supplier - Clinic/Group Practice 7719308493 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589673600000",
    "number": "1396370730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 CHARLESTON ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7429 LAS COLINAS BLVD STE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637573",
            "telephone_number": "469-442-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYANKA AGARWAL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-551-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Endocrinology and Diabetes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Endocrinology and Diabetes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.