Ruchita Agrawal, M.D – Psychiatry Physician

Key facts

NPI: 1790941318
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatry Physician 2084P0800X
License: 45133 (KY)
Practice address: 708 Magazine St
Louisville, KY 40203-2043
Phone: (502) 589-8926
Fax: (502) 589-8771
NPI assigned: Aug 3, 2008
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Seven Counties Services, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Louisville, KY · NPI 1598793671

Medicare reassignment Care Compare group NPD KY · PSYCHIATRY

Medicare Care Compare profile

Specialty: Psychiatry
Education: Other, 2005
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Seven Counties Services, Inc (92 clinicians)

Practice addresses (Care Compare)

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 589-1100

708 Magazine St
Louisville, KY 40203-2043
Phone (502) 589-8926

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY
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
I20120622000312	KY	Practitioner - Psychiatry	6204091333	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
45133	KY	MD	Psychiatry Physician

Practice roles

Organization	Specialty	Status	New patients
Seven Counties Services, Inc.	Psychiatry	Current since Jul 1, 2012	Accepting new patients

Locations

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

10401 Linn Station Rd
Louisville, KY 40223

101 W Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 589-8615

708 Magazine St
Ste 100
Louisville, KY 40203
Phone (502) 589-8926

708 Magazine St
Louisville, KY 40203
Phone (502) 589-6000

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Obesity Medicine (Family Medicine) Physician	207QB0002X	45133	KY
Student in an Organized Health Care Education/Training Program	390200000X
Psychiatry Physician	2084P0800X	45133	KY	Yes

Addresses

Primary practice location

708 Magazine St
Louisville, KY 40203-2043

Mailing address

10401 Linn Station Rd
Louisville, KY 40223-3842
Phone (502) 589-8600

Other providers in Louisville, KY

All providers in Louisville, KY · Psychiatry Physician in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. 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.

Verify at the official NPI Registry.