Purva Agarwal, M.D.
Individual provider Active NPI Obesity Medicine (Preventive Medicine) Physician · Fall River, MA
NPI 1750495271 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1750495271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obesity Medicine (Preventive Medicine) Physician 2083B0002X
- License
- 290105 (MA)
- Practice address
- 300 Hanover St Ste 1F
Fall River, MA 02720-5451 - Phone
- (508) 973-8611
- Fax
- (508) 973-8615
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southcoast Physicians Group Inc
Practice addresses (Care Compare)
300 Hanover St
Suite 1F
Fall River, MA 02720-5451
Phone (508) 973-8612
Hospital & facility affiliations
- Southcoast Hospitals Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI, MA
- 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 |
|---|---|---|---|---|
| I20090910000068 | RI | Practitioner - Internal Medicine | 4183779432 | Reassigns benefits to 1 organization |
| I20230214001797 | MA | Practitioner - Internal Medicine | 4183779432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290105 | MA | MD | Obesity Medicine (Preventive Medicine) Physician |
| MD12913 | RI | MD | Obesity Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| The Miriam Hospital | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| The Miriam Hospital | Internal Medicine | Current |
Accepting new patients |
| Coastal Medical, Inc. | Past | Accepting new patients | |
| Coastal Medical Inc | Internal Medicine | Past | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
300 Hanover St
Ste 1F
Fall River, MA 02720
Phone (508) 973-8611
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- pagawaral65017@direct.southcoast.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | MD12913 | RI | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 290105 | MA | Yes |
Addresses
Primary practice location
300 Hanover St Ste 1F
Fall River, MA 02720-5451
Mailing address
200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001192001 | Other | RI | MEDICARE |
| PA77814 | Medicaid | RI |
Other providers in Fall River, MA
- Patricia A Affonso
- Joseph A. Santos Afonso
- Agape Dermatology of Fall River LLC
- Agape Medical Spa and Weight Loss Center LLC
- Agape of Fall River Dermatology
- Agewise Home Care LLC
- Jennifer Agudelo
- Angela Aguiar
- Kellyann Aguiar
- Louis Aguiar
All providers in Fall River, MA · Obesity Medicine (Preventive Medicine) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 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).
- 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.