Ishan Kumar Agarwal, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Saint Louis, MO
NPI 1629964952 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1629964952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003 - Phone
- (314) 362-7353
- NPI assigned
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20250624004071 | MO | Order and Referring Only - Internal Medicine |
3274045380 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Mailing address
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Phone (314) 362-7353
Other providers in Saint Louis, MO
- Sophia Eugenia Agapova
- Anubha Agarwal
- Anupam Agarwal
- Ashima Agarwal
- Gautum Agarwal
- Mayank Agarwal
- Shilpa M Agashe
- Oresta Agastra
- Tomilola Ayobami Agboola
- Ageless Health Care Inc
All providers in Saint Louis, MO · Student in an Organized Health Care Education/Training Program in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. 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.