NPIMap

Individual provider Active NPI

Mohit Agarwal

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1407061781
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
56337 Issued in AZ
Practice address
2610 N 3Rd St
Phoenix, AZ 85004-1102
Phone
(480) 610-6100
Fax
(602) 252-1520
NPI assigned
May 11, 2007
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301085851 MI
Nephrology Physician 207RN0300X 65992 WI
Nephrology Physician 207RN0300X 22153 MS
Nephrology Physician 207RN0300X 56337 AZ Primary
Hospitalist Physician 208M00000X 35.092022 OH

Addresses

Primary practice location

2610 N 3Rd St
Phoenix, AZ 85004-1102

Mailing address

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone (480) 610-6100

Other practice location 1

9200 W Wisconsin Ave
Division of Nephrology
Milwaukee, WI 53226-3522
Phone (414) 805-3100

Other identifiers 2

IdentifierTypeStateIssuer
05955368MedicaidMS
420294MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, WI, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140627001894 MS Practitioner - NephrologyPractitioner - Internal Medicine 0941359806 Reassigns benefits to 1 organization
I20160908002804 WI Practitioner - NephrologyPractitioner - Internal Medicine 0941359806 Reassigns benefits to 1 organization
I20181031001412 AZ Practitioner - HospitalistPractitioner - NephrologyPractitioner - Internal Medicine 0941359806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

2610 N 3Rd St
Phoenix, AZ 85004-1102
Phone (480) 610-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as individual
Quality
73.97
Promoting interoperability
97
Improvement activities
40
Cost
82.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085851MIMDInternal Medicine Physician
22153MSMDNephrology Physician
65992WIMDNephrology Physician
35.092022OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 2, 2014 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 2, 2014 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2026 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Oct 1, 2018 Accepting new patients
The Medical College of Wisconsin, Inc. Family Medicine CurrentSince Aug 3, 2016 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2026 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Oct 1, 2018 Accepting new patients
Meritra Physicians LLC Hospitalist Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Triven Health Family Medicine Past Accepting new patients

Locations

214 S Main St
Cottonwood, AZ 86326
Phone (928) 634-7534

617 N Humphreys St
Ste 102
Flagstaff, AZ 86001

5330 S Highway 95
Ste M
Fort Mohave, AZ 86426

1739 E Beverly Ave
Ste 221
Kingman, AZ 86409
Phone (928) 681-8671

2005 Injo Dr
Ste 103
Lake Havasu City, AZ 86403
Phone (520) 854-1111

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541

9212 N Central Ave
Phoenix, AZ 85020
Phone (480) 999-4954

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

1000 Willow Creek Rd
Prescott, AZ 86301
Phone (520) 445-2424

7763 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 717-1800

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 805-8700

Interoperability endpoints

  • Direct secure messaging: mohit.agarwal.1@2697.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1407061781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-610-6100",
            "fax_number": "480-610-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041102",
            "telephone_number": "480-610-6100",
            "fax_number": "602-252-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_2": "DIVISION OF NEPHROLOGY",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-805-3100",
            "fax_number": "414-259-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "MOHIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085851",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "65992",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "22153",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "56337",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.092022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05955368",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420294",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.