Shradha Agarwal, MD
Individual provider Active NPI Allergy & Immunology Physician · New York, NY
NPI 1740320126 · NPPES record last updated Feb 26, 2019
Key facts
- NPI
- 1740320126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 234092 (NY)
- Practice address
- 5 East 98TH Street
11TH Floor
New York, NY 10029-6514 - Phone
- (212) 659-9261
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
5 E 98TH St
New York, NY 10029-6501
Phone (212) 241-0764
Hospital & facility affiliations
- Mount Sinai Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20090902000353 | NY | Practitioner - Allergy/Immunology | 7719032440 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234092 | NY | MD | Allergy & Immunology Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Allergy & Immunology | Current |
Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
5 E 98th St
Fl 11
New York, NY 10029
Phone (212) 241-4299
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 234092 | NY | Yes |
Addresses
Primary practice location
5 East 98TH Street
11TH Floor
New York, NY 10029-6514
Mailing address
1 Gustave L Levy PL # 3000
New York, NY 10029-6504
NPI Registry JSON
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1740320126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL # 3000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EAST 98TH STREET",
"address_2": "11TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296514",
"telephone_number": "212-659-9261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "SHRADHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "234092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Ritu Agarwal
- Ruchi Agarwal
- Sachin Agarwal
- Sanket Agarwal
- Shelly Agarwal
- Sonia Swarup Agarwal
- Tina Agarwal
- Trisha Agarwal
- Vikram Vedprakash Agarwal
- Neena Agarwala
All providers in New York, NY · Allergy & Immunology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.