Abhishek Agarwal, MD
Individual provider Active NPI Gastroenterology Physician · Puyallup, WA
NPI 1801010053 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1801010053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- MD60647401 (WA)
- Practice address
- 1703 S Meridian
Ste 305
Puyallup, WA 98371 - Phone
- (253) 841-3933
- Fax
- (253) 848-7970
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Washington Gastroenterology PLLC
Practice addresses (Care Compare)
11216 Sunrise Blvd E
Suite 3 207
Puyallup, WA 98374-8848
Phone (253) 770-3700
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
- Multicare Auburn Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 63 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 78 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20160603002066 | WA | Practitioner - Gastroenterology | 9436240041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5097 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Gastroenterology | Current |
Accepting new patients |
| Washington Gastroenterology PLLC | Current |
Accepting new patients | |
| Cogent Healthcare of Brockton, PC | Internal Medicine | Past | Accepting new patients |
| Washington Gastroenterology PLLC | Past | Accepting new patients |
Locations
33915 1st Way S
Ste 200
Federal Way, WA 98003
Phone (253) 838-9839
2727 Hollycroft St
Ste 380
Gig Harbor, WA 98335
Phone (253) 858-0112
1301 4th Ave NW
Unit 303
Issaquah, WA 98027
Phone (425) 270-6363
17700 SE 272nd St
#420
Kent, WA 98042
Phone (253) 639-9660
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
11216 Sunrise Blvd E
Ste 201
Puyallup, WA 98374
Phone (253) 435-7050
11216 Sunrise Blvd E
Ste 3207
Puyallup, WA 98374
Phone (253) 770-3700
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
11216 Sunrise Blvd E
Ste 3-207
Puyallup, WA 98374
11216 Sunrise Blvd E
Ste 3-201
Puyallup, WA 98374
Phone (253) 770-3700
1446 Spaulding Ave
Richland, WA 99352
Phone (509) 420-4588
2202 S Cedar St
Tacoma, WA 98405
Phone (253) 301-5280
2202 S Cedar St
Ste 330
Tacoma, WA 98405
Phone (253) 503-2547
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD60647401 | WA | Yes |
| Internal Medicine Physician | 207R00000X | E5097 | AR |
Addresses
Primary practice location
1703 S Meridian
Ste 305
Puyallup, WA 98371
Mailing address
1703 S Meridian Ste 305
Puyallup, WA 98371-7590
Other practice location 1
11216 Sunrise Blvd E Ste 3-207
Puyallup, WA 98374
Phone (253) 770-3700
Other practice location 2
11216 Sunrise Blvd E Ste 3-207
Puyallup, WA 98374
Phone (253) 770-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G001045700 | Other | WA | GROUP PTAN(P) |
| MD60647401 | Other | WA | WA LICENSE |
| 2060137 | Medicaid | WA | |
| G000188100 | Other | WA | GROUP PTAN(K) |
Other providers in Puyallup, WA
- Zenia Triette Adler
- Advanced Health Chiropractic, Inc.
- Advanced Lifeline Services Inc
- Advocates Organization Consulting Solutions
- Milcah Nagaddya Agaba
- Agata a Pikula DDS PLLC
- Brenda Aguilar
- Ederlinda Aguinaldo
- Justin M. Ahlfors
- Mohamed Anees Ahmed
All providers in Puyallup, WA · Gastroenterology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 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.