NPIMap

Organization Active NPI

Usha Agarwal MD PA

  • Chronic Disease Hospital
  • Trinity, FL
National Provider Identifier
1710306402
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
207RI0200X Issued in FL
Legal business name
USHA AGARWAL MD PA
Practice address
3543 Little Road, Ste a
Dr. Usha Agarwal MD PA
Trinity, FL 34655-1945
Phone
(678) 578-0914
Fax
(206) 984-4412
NPI assigned
Apr 10, 2014
Organization subpart
Yes
Parent organization
USHA AGARWAL MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Dr. Usha Agarwal, MDNPI 1427043421
Title
Provider
Phone
(678) 578-0914

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 207RI0200X FL Primary
Long Term Care Hospital 282E00000X 207RI0200X FL

Addresses

Primary practice location

3543 Little Road, Ste a
Dr. Usha Agarwal MD PA
Trinity, FL 34655-1945

Mailing address

2410 Northside Dr
Clearwater, FL 33761-2236
Phone (727) 848-6400

Other identifiers 1

IdentifierTypeStateIssuer
373995300MedicaidFL

National Provider Directory

National Provider Directory
Part of
Usha Agarwal MD PA

Locations

3543 Little Rd
Ste A
Trinity, FL 34655
Phone (727) 848-6400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1710306402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 NORTHSIDE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612236",
            "telephone_number": "727-848-6400",
            "fax_number": "727-848-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 LITTLE ROAD, STE A",
            "address_2": "DR. USHA AGARWAL MD PA",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551945",
            "telephone_number": "678-578-0914",
            "fax_number": "206-984-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHA AGARWAL MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USHA AGARWAL MD",
        "enumeration_date": "2014-04-10",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "678-578-0914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "FL",
            "license": "207RI0200X",
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "FL",
            "license": "207RI0200X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373995300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.