Active NPI
Bharat L Agrawal, MD
- Hematology & Oncology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301035671
- Practice address
- 200 N Park St
Kalamazoo, MI 49007-3731 - Phone
- (269) 373-7449
- Fax
- (269) 373-0123
- NPI assigned
- May 25, 2006
- Last updated
- May 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01034223A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 35-05-4332A | OH | |
| Hematology & Oncology Physician | 207RH0003X | 4301035671 | MI | Primary |
Addresses
Primary practice location
200 N Park St
Kalamazoo, MI 49007-3731
Mailing address
200 N Park St
Kalamazoo, MI 49007-3731
Phone (269) 373-7449
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568418358 | Medicaid | MI | |
| 100256820 | Medicaid | IN | |
| 1447261730 | Other | MI | BCBSM - WMCC |
| 636128 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034223A | IN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Hematology & Oncology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Cancer and Blood Disease Center | Hematology & Oncology | Past | Accepting new patients |
| Richmond Cancer and Blood Disease Center | Hematology & Oncology | Past | Accepting new patients |
Locations
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
840 S Wood St
#787
Chicago, IL 60612
Phone (312) 413-8687
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
Interoperability endpoints
- bagrawal69559@uihealth.direct-ci.com
Organizations & group practices 6
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Hematology & Oncology Physician
- Richmond, IN
- NPI 1396736435
-
- Hematology & Oncology Physician
- Richmond, IN
- NPI 1760648471
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1609094739
Hematology & Oncology
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1568418358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N PARK ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073731",
"telephone_number": "269-373-7449",
"fax_number": "269-373-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N PARK ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073731",
"telephone_number": "269-373-7449",
"fax_number": "269-373-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAWAL",
"first_name": "BHARAT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01034223A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35-05-4332A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301035671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568418358",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100256820",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM - WMCC",
"identifier": "1447261730",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "636128",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.