Organization Active NPI

Shiv Aggarwal MD PA

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1760708085
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0061805 Issued in FL
Legal business name
SHIV AGGARWAL MD PA
Practice address
5522 Trouble Creek Rd Ste 100
New Port Richey, FL 34652-5171
Phone
(727) 842-7088
Fax
(727) 848-6731
NPI assigned
Apr 12, 2010
Last updated
Nov 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Shiv K Aggarwal, MDNPI 1376552075
Title
President
Phone
(727) 842-7088

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
Internal Medicine Physician 207R00000X ME0061805 FL Primary

Addresses

Primary practice location

5522 Trouble Creek Rd Ste 100
New Port Richey, FL 34652-5171

Mailing address

5522 Trouble Creek Rd Ste 100
New Port Richey, FL 34652-5171
Phone (727) 842-7088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121206000071 FL Part B Supplier - Clinic/Group Practice 6406008028 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, 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
10D2302461Shiv Aggarwal MD PA5522 Trouble Creek Rd Ste 100, New Port Richey, FL 34652Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

Locations

5522 Trouble Creek Rd
Ste 100
New Pt Richey, FL 34652
Phone (727) 842-7088

Practitioners & affiliated clinicians

Practitioners 2

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": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1760708085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 TROUBLE CREEK RD STE 100",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525171",
            "telephone_number": "727-842-7088",
            "fax_number": "727-848-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 TROUBLE CREEK RD STE 100",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525171",
            "telephone_number": "727-842-7088",
            "fax_number": "727-848-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIV AGGARWAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "SHIV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-842-7088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0061805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.