Individual provider Active NPI

Neera Agarwal-Antal, M.D.

  • Dermatopathology Physician
  • Hudson, OH
National Provider Identifier
1811950751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
35-078663 Issued in OH
Practice address
1325 Corporate Dr
Suite a
Hudson, OH 44236-4432
Phone
(330) 650-4200
Fax
(330) 386-9302
NPI assigned
Apr 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 35-078663 OH Primary

Addresses

Primary practice location

1325 Corporate Dr
Suite a
Hudson, OH 44236-4432

Mailing address

PO Box 74666
Cleveland, OH 44194-0002
Phone (330) 650-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000106 OH Practitioner - DermatologyPractitioner - Pathology 3779555628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Northeastern Ohio University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 Corporate Dr
Hudson, OH 44236-4432
Phone (330) 650-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions134
Removal of skin cancer29
Removal or shaving of skin growth78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-078663OHMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Laboratories Inc Current Accepting new patients
Neera Prahlad Agarwal Antal MD Inc. CurrentSince Sep 17, 2001 Accepting new patients
U-U Pediatric Dermatology PastSince May 24, 2020 Accepting new patients
Hudson Laboratory Inc Past Accepting new patients

Locations

1325 Corporate Dr
Hudson, OH 44236
Phone (330) 498-9865

1325 Corporate Dr
#A
Hudson, OH 44236
Phone (330) 650-4200

Interoperability endpoints

  • Direct secure messaging: nagarwalantal@520.securemail.prognocis.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811950751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74666",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940002",
            "telephone_number": "330-650-4200",
            "fax_number": "330-386-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 CORPORATE DR",
            "address_2": "SUITE A",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364432",
            "telephone_number": "330-650-4200",
            "fax_number": "330-386-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL-ANTAL",
        "first_name": "NEERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "35-078663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.