Neera Agarwal-Antal, M.D.
Individual provider Active NPI Dermatopathology Physician · Hudson, OH
NPI 1811950751 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811950751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatopathology Physician 207ND0900X
- License
- 35-078663 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Dermatology
- 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
- Summa Western Reserve Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 50 of 100
- Quality
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 134 |
| Removal of skin cancer | 29 |
| Removal or shaving of skin growth | 78 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20100219000106 | OH | Practitioner - Dermatology |
3779555628 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-078663 | OH | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Laboratories Inc | Current | Accepting new patients | |
| Neera Prahlad Agarwal Antal MD Inc. | Current |
Accepting new patients | |
| Hudson Laboratory Inc | Past | Accepting new patients | |
| U-U Pediatric Dermatology | Past |
Accepting new patients |
Locations
1325 Corporate Dr
Hudson, OH 44236
Phone (330) 498-9865
1325 Corporate Dr
#A
Hudson, OH 44236
Phone (330) 498-9865
Interoperability endpoints
- nagarwalantal@520.securemail.prognocis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 35-078663 | OH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00097384 | Other | OH | RR MEDICARE PROVIDER NUMB |
| 000000231839 | Other | OH | ANTHEM PROVIDER NUMBER |
Other providers in Hudson, OH
- Jenna Adams
- Nicole Marie Adkins
- Advanced Health Systems, Inc.
- Advanced Health Technologies, Inc.
- Affordable Health Care Clinic
- Pearl Agbor-Nkamba Agbor-Baiyee
- Divya Aggarwal
- Geoffrey A Agrons
- Kevin C Aiken
- Nely Aldrich
All providers in Hudson, OH · Dermatopathology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.