Individual provider Active NPI

Hem Aggarwal, M.D.

  • Family Medicine Physician
  • Sugar Grove, IL
National Provider Identifier
1831184613
Registry record updated Nov 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-111697 Issued in IL
Practice address
217 Capitol Dr
Suite B
Sugar Grove, IL 60554-9842
Phone
(630) 466-9777
Fax
(630) 466-3809
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-111697 IL
Family Medicine Physician 207Q00000X 036-111697 IL Primary

Addresses

Primary practice location

217 Capitol Dr
Suite B
Sugar Grove, IL 60554-9842

Mailing address

217 Capitol Dr
Suite B
Sugar Grove, IL 60554-9842
Phone (630) 466-9777

Other identifiers 1

IdentifierTypeStateIssuer
036-111697OtherILMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20061113000448 IL Practitioner - Family PracticePractitioner - Emergency Medicine 6204823560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 Capitol Dr
Suite B
Sugar Grove, IL 60554-9865
Phone (630) 466-9777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-111697ILMDFamily Medicine Physician
3476IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan Urgent Aid Centers, LTD Emergency Medicine Past Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417219200000",
    "number": "1831184613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CAPITOL DR",
            "address_2": "SUITE B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549842",
            "telephone_number": "630-466-9777",
            "fax_number": "630-466-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 CAPITOL DR",
            "address_2": "SUITE B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549842",
            "telephone_number": "630-466-9777",
            "fax_number": "630-466-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "HEM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-111697",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-111697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036-111697",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

Verify at the official NPI Registry.