Active NPI
Deepa Agarwal MD
- Pediatrics Physician
- Tucson, AZ
National Provider Identifier
1821179854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20387
- Legal business name
- DEEPA AGARWAL MD
- Practice address
- 5170 E Glenn St # 130
Tucson, AZ 85712-1337 - Phone
- (520) 325-2684
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deepa Agarwal, M.D.
- Title
- President
- Phone
- (520) 325-2684
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20387 | AZ | Primary |
Addresses
Primary practice location
5170 E Glenn St # 130
Tucson, AZ 85712-1337
Mailing address
5170 E Glenn St # 130
Tucson, AZ 85712-1337
Phone (520) 325-2684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379794 | Medicaid | AZ |
Other names 1
- Tucson Pediatrics
National Provider Directory
National Provider DirectoryLocations
5170 E Glenn St
Ste 130
Tucson, AZ 85712
Phone (520) 325-2684
Interoperability endpoints
- https://api.platform.athenahealth.com/8785/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Tucson, AZ
- NPI 1215159322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217980800000",
"number": "1821179854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5170 E GLENN ST # 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121337",
"telephone_number": "520-325-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 E GLENN ST # 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121337",
"telephone_number": "520-325-2684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEPA AGARWAL MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2008-08-06",
"status": "A",
"authorized_official_last_name": "AGARWAL",
"authorized_official_first_name": "DEEPA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-325-2684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AZ",
"license": "20387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379794",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tucson Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.