Individual provider Active NPI

Narendra Agrawal, M.D.

  • Internal Medicine Physician
  • Richmond, IN
National Provider Identifier
1477554244
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01045437 Issued in IN
Practice address
1614 E Main St
Richmond, IN 47374-4323
Phone
(765) 962-0823
Fax
(765) 966-0773
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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 01045437 IN Primary

Addresses

Primary practice location

1614 E Main St
Richmond, IN 47374-4323

Mailing address

1614 E Main St
Richmond, IN 47374-4323
Phone (765) 962-0823

Other identifiers 3

IdentifierTypeStateIssuer
200104950AMedicaidIN
000000109016OtherINBLUESHIELDREID HOSP EKG
200104950MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100308000875 IN Practitioner - Internal Medicine 1355484569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N. Agrawal MD PCGroup PAC ID 9537202841, 2 clinicians

Practice addresses (Care Compare)

1614 E Main St
Richmond, IN 47374-4323
Phone (765) 962-0823

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions94
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045437INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N. Agrawal MD PC Internal Medicine CurrentSince Dec 6, 1999 Accepting new patients
Reid Hospital & Health Care Services Inc Internal Medicine Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients

Locations

1614 E Main St
Richmond, IN 47374
Phone (765) 962-0823

Interoperability endpoints

  • Direct secure messaging: nagrawal305114@ecommunitydirect.com

Organizations & group practices 3

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1477554244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744323",
            "telephone_number": "765-962-0823",
            "fax_number": "765-966-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744323",
            "telephone_number": "765-962-0823",
            "fax_number": "765-966-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "NARENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01045437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200104950A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELDREID HOSP EKG",
            "identifier": "000000109016",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200104950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.