Organization Active NPI

Tallahassee Endocrinology and Diabetes Clinic LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Tallahassee, FL
National Provider Identifier
1609688431
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
TALLAHASSEE ENDOCRINOLOGY AND DIABETES CLINIC LLC
Practice address
1641 Mahan Center Blvd Ste 2
Tallahassee, FL 32308-7404
Phone
(850) 807-9850
Fax
(850) 807-9851
NPI assigned
Jan 20, 2025
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Dr. Anju Agarwal, MDNPI 1164734620
Title
Physician
Phone
(203) 887-1396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary

Addresses

Primary practice location

1641 Mahan Center Blvd Ste 2
Tallahassee, FL 32308-7404

Mailing address

1641 Mahan Center Blvd Ste 2
Tallahassee, FL 32308-7404
Phone (850) 807-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250908001633 FL Part B Supplier - Clinic/Group Practice 9931601036 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2330899Tallahassee Endocrinology and Diabetes Clinic LLC1641 Mahan Center Blvd, Suite 2, Tallahassee, FL 32308Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

1641 Mahan Center Blvd
Ste 2
Tallahassee, FL 32308
Phone (850) 222-1231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1609688431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 MAHAN CENTER BLVD STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087404",
            "telephone_number": "850-807-9850",
            "fax_number": "850-807-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 MAHAN CENTER BLVD STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087404",
            "telephone_number": "850-807-9850",
            "fax_number": "850-807-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE ENDOCRINOLOGY AND DIABETES CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ANJU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-887-1396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.