Individual provider Active NPI

Abhimanyu Aggarwal, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1447605704
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0096589 Issued in MD
Practice address
800 Prudential Dr FL 8202
Jacksonville, FL 32207-8202
Phone
(703) 732-5623
NPI assigned
Apr 25, 2016
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101278887 VA
Diagnostic Radiology Physician 2085R0202X 68697 TN
Diagnostic Radiology Physician 2085R0202X ME166355 FL
Diagnostic Radiology Physician 2085R0202X MD474970 PA
Diagnostic Radiology Physician 2085R0202X D0096589 MD Primary

Addresses

Primary practice location

800 Prudential Dr FL 8202
Jacksonville, FL 32207-8202

Mailing address

4451 Logmill Rd
Gainesville, VA 20155-1046

Other practice location 1

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

Other practice location 2

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005 ext. 44747

Other practice location 3

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (855) 674-4624

Other practice location 4

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Other identifiers 1

IdentifierTypeStateIssuer
286582OtherMASTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, IN, OH, TN, VA, WI, AL, SC, FL, DC, AR, MN, OK, TX, NJ, NC, NV, MS, IL, MO21 enrollments
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 21

Enrollment IDStateProvider typePAC IDDetails
I20211026002387 PA Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 3 organizations
I20230512000865 MD Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 16 organizations
I20230821000510 IN Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 2 organizations
I20230829004209 OH Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 2 organizations
I20231109000749 TN Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 6 organizations
I20231218000238 VA Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 15 organizations
I20240618000714 WI Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 2 organizations
I20240819001976 AL Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 8 organizations
I20241122002800 SC Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 2 organizations
I20241204000093 FL Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 4 organizations
I20241212001345 DC Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 2 organizations
I20250319004021 AR Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 3 organizations
I20250424000929 MN Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 1 organization
I20250527003354 OK Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 2 organizations
I20250709001652 TX Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 2 organizations
I20250731004405 NJ Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 1 organization
I20250915001479 NC Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 5 organizations
I20251124004535 NV Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 1 organization
I20260309003354 MS Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 1 organization
I20260519003689 IL Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 1 organization
I20260624000286 MO Practitioner - Diagnostic Radiology 7618365511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Wetumpka Urgent Care LLCGroup PAC ID 6800053133, 50 clinicians
Clear View Radiology PLLCGroup PAC ID 1850837964, 25 clinicians
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
North Arkansas RadiologyGroup PAC ID 0648372763, 27 clinicians
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians
River Region Family Medicine, LLCGroup PAC ID 2163853151, 56 clinicians
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians
Radiologists of Russellville PAGroup PAC ID 4385741685, 27 clinicians
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians
American Health Network of Indiana LLCGroup PAC ID 9830093533, shared by 10 NPIs, 204 clinicians
American Health Network of Ohio, LLCGroup PAC ID 3173427721, shared by 3 NPIs, 54 clinicians
Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

101 Hospital Ctr Blvd
Stafford, VA 22554-6200
Phone (540) 741-5610

11 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-8633

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (479) 452-9416

1201 Seven Locks Rd
Suite 111
Rockville, MD 20854-2957
Phone (301) 762-5020

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8200

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

270 Susquehanna Valley Mall Dr
Suite 100
Selinsgrove, PA 17870-9115
Phone (570) 884-7921

277 Huntress St
Suite 100
Wetumpka, AL 36092-3342
Phone (334) 567-3309

29 E 29TH St
Bayonne, NJ 07002-4654

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (479) 452-9416

308 Willow Ave
Hoboken, NJ 07030-3808

325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone (803) 773-5227

3300 Northeast Expy
Oklahoma City, OK 73112-4413
Phone (479) 242-1044

3301 W Main PL
Russellville, AR 72801-2334
Phone (479) 968-7930

333 N Texas Ave
Suite 1000
Webster, TX 77598-4962
Phone (479) 452-9416

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500

4451 Logmill Rd
Gainesville, VA 20155-1046
Phone (540) 361-1000

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

680 Buckles CT N
Suite 1a
Columbus, OH 43230-6928
Phone (614) 986-0125

7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68697TNMDDiagnostic Radiology Physician
0101278887VAMDDiagnostic Radiology Physician

Practice roles (60 of 89)

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Dec 7, 2025 Accepting new patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 5, 2024 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Apr 20, 2025 Accepting new patients
Family Practice Center, PC CurrentSince Nov 6, 2023 Accepting new patients
Physical Express CurrentSince Oct 19, 2025 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Dec 7, 2025 Accepting new patients
Fond Du Lac Reservation Business Committee CurrentSince May 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince May 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jun 28, 2025 Accepting new patients
Optumcare New Mexico LLC CurrentSince May 4, 2024 Accepting new patients
Summit Imaging Services LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jul 8, 2023 Accepting new patients
Family Practice Center, PC CurrentSince Nov 6, 2023 Accepting new patients
American Health Network of Indiana LLC CurrentSince Jul 16, 2023 Accepting new patients
Privia Care Center LLC CurrentSince Nov 5, 2024 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Oct 19, 2025 Accepting new patients
Clear View Radiology, PLLC Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
Ivycreek of Elmore LLC CurrentSince Oct 19, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince May 7, 2024 Accepting new patients
Chambersburg Imaging Associates P.C. CurrentSince Nov 3, 2021 Accepting new patients
Colonial Family Practice, LLC CurrentSince Oct 1, 2024 Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Wake Forest Health Network LLC Diagnostic Radiology CurrentSince Dec 7, 2025 Accepting new patients
Enterprise Urgent Care CurrentSince Oct 19, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Aug 22, 2023 Accepting new patients
Fond Du Lac Reservation Business Committee Current Accepting new patients
Dominion Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince Jun 1, 2024 Accepting new patients
Chilton Family Care, LLC CurrentSince Oct 19, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Sep 14, 2025 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Sep 27, 2023 Accepting new patients
American Health Network of Ohio, LLC CurrentSince Jul 16, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Nov 1, 2023 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Dec 3, 2024 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Oct 19, 2025 Accepting new patients
Colonial Family Practice, LLC CurrentSince Oct 1, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Dec 10, 2023 Accepting new patients
American Health Network of Ohio, LLC CurrentSince Jul 16, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 28, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Sep 14, 2025 Accepting new patients
Wilmington ASC LLC CurrentSince Sep 1, 2025 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
River Region Family Medicine, LLC CurrentSince Oct 19, 2025 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Feb 19, 2024 Accepting new patients
North Arkansas Radiology Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Ivy Creek Family Care of Lake Martin CurrentSince Oct 19, 2025 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 28, 2025 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Aug 1, 2023 Accepting new patients
Southwest Medical Associates, Inc Diagnostic Radiology CurrentSince Dec 18, 2023 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Radiologic Associates of Fredericksburg LTD Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Radiologists of Russellville PA Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Apr 6, 2025 Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology CurrentSince Feb 25, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Nov 5, 2024 Accepting new patients

Locations (25 of 167)

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222

2256 Gilmer Ave
Tallassee, AL 36078
Phone (334) 283-2542

277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

1490 Byers St
Batesville, AR 72501
Phone (870) 793-2207

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2546

1400 Braden St
Little Rock AFB, AR 72076
Phone (501) 380-3172

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343

800 Prudential Dr
Fl 8202
Jacksonville, FL 32207
Phone (703) 732-5623

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aaggarwal3042359@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: aaggarwal820515@direct.emplifyhealth.org
  • Direct secure messaging: abhimanyu.aggarwal.p1@direct.wilmingtonhealth.nextgenshare.com
  • Direct secure messaging: abhimanyuaggarwal@fpc.medentdirect.com
  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

Organizations & group practices 102

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.

View all 102

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1447605704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 LOGMILL RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR FL 8202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "703-732-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-741-5610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005 x44747",
            "fax_number": "833-963-2066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19531 Cochran Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339482081",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "ABHIMANYU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101278887",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "68697",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME166355",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD474970",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0096589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "286582",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.