Active NPI
Shrinkhla Agrawal, MD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1497993984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 272359
- Practice address
- 1456 Fulton St
Brooklyn, NY 11216-2505 - Phone
- (718) 636-4500
- NPI assigned
- Jan 22, 2009
- Last updated
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 272359 | NY | Primary |
| Pediatrics Physician | 208000000X | 01066450A | IN |
Addresses
Primary practice location
1456 Fulton St
Brooklyn, NY 11216-2505
Mailing address
526 Macdonough St
Apt 2
Brooklyn, NY 11233
Phone (610) 800-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03723186 | Medicaid | NY |
Other names 1
- Shrinkhla Agrawal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01066450A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients |
Interoperability endpoints
- shrinkhlaagrawal@mai.allscriptsdirect.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1497993984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 MACDONOUGH ST",
"address_2": "APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11233",
"telephone_number": "610-800-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162505",
"telephone_number": "718-636-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAWAL",
"first_name": "SHRINKHLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "272359",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01066450A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03723186",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHRINKHLA",
"last_name": "AGRAWAL",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.