Nishant Aggarwal, MD
Individual provider Active NPI Gastroenterology Physician · Royal Oak, MI
NPI 1497327266 · NPPES record last updated Oct 6, 2024
Key facts
- NPI
- 1497327266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 4301511275 (MI)
- Practice address
- 3535 W 13 Mile Rd Ste LL
Royal Oak, MI 48073-6770 - Phone
- (248) 551-3000
- Fax
- (248) 551-9425
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20210727003072 | MI | Order and Referring Only - Internal Medicine |
0446653539 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301511275 | MI | MD | Gastroenterology Physician |
Interoperability endpoints
- naggarwal1222154@epic00.shdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301511275 | MI | Yes |
Addresses
Primary practice location
3535 W 13 Mile Rd Ste LL
Royal Oak, MI 48073-6770
Mailing address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 551-3000
Other providers in Royal Oak, MI
- Olabisi Israt Afolayan-Oloye
- Seena Afr-Newcomb
- Shanu Agarwal
- Bonnie Ager
- Devika Aggarwal
- Sanjeev Aggarwal
- Jeannette Ann Agnello
- Karen Agresta
- Joshua Agrusa
- Colleen Elizabeth Ahern
All providers in Royal Oak, MI · Gastroenterology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2024. 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.