Active NPI
Ravi Agarwal, M.D.
- Neonatal-Perinatal Medicine Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 35082014
- Practice address
- 75 Beekman St
Plattsburgh, NY 12901-1438 - Phone
- (850) 496-0855
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME69036 | FL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD 048948 L | PA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 35082014 | OH | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 278608 | NY |
Addresses
Primary practice location
75 Beekman St
Plattsburgh, NY 12901-1438
Mailing address
25 Biggs PL
Flemington, NJ 08822-3378
Phone (850) 496-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME69036 | FL | MD | Neonatal-Perinatal Medicine Physician |
| 35082014 | OH | MD | Neonatal-Perinatal Medicine Physician |
| MD 048948 L | PA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Single Specialty | Current | Accepting new patients |
| Pinnacle Health Medical Services | Single Specialty | Current | Accepting new patients |
| Tower Health Medical Group | Single Specialty | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
Single Specialty
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
Single Specialty
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba UPMC Pinnacle Colon Rectal Surgery
- Colon & Rectal Surgery Physician
- Harrisburg, PA
- NPI 1609389170
Single Specialty
-
dba Geriatric Center - Tower Health Medical Group
- Geriatric Psychiatry Physician
- Wyomissing, PA
- NPI 1780885723
-
dba Breast Health Center Wyomissing Tower Health Medical Group
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1801830468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BIGGS PL",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088223378",
"telephone_number": "850-496-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BEEKMAN ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011438",
"telephone_number": "850-496-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "RAVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME69036",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD 048948 L",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OH",
"license": "35082014",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "278608",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.