Organization Active NPI

Deepa Agarwal MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1821179854
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20387 Issued in AZ
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

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Deepa Agarwal, M.D.NPI 1215159322
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
379794MedicaidAZ

Other names 1

  • Tucson Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

5170 E Glenn St
Ste 130
Tucson, AZ 85712
Phone (520) 325-2684

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.