Individual provider Active NPI

Sunita Agarwal, M.D.

  • Psychiatry Physician
  • Dublin, OH
National Provider Identifier
1851393375
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-07-3834 Issued in OH
Practice address
545 Metro PL S Ste 100
Dublin, OH 43017-5353
Phone
(415) 671-2165
NPI assigned
Aug 15, 2005
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-07-3834 OH Primary

Addresses

Primary practice location

545 Metro PL S Ste 100
Dublin, OH 43017-5353

Mailing address

1288 Talon Ridge CT
Dayton, OH 45440-4306
Phone (937) 657-7165

Other identifiers 1

IdentifierTypeStateIssuer
2077854MedicaidOH

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
I20090416000241 OH Practitioner - Psychiatry 0648247114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recovery Services of Northwest Ohio IncGroup PAC ID 7113221508, 6 clinicians

Practice addresses (Care Compare)

4 E Seminary St
Norwalk, OH 44857-2121
Phone (567) 424-6003

511 Perry St
Defiance, OH 43512-2123
Phone (419) 782-9920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center, Inc. CurrentSince Feb 4, 2017 Accepting new patients
Clear Minds Coaching & Counseling, LLC CurrentSince Jun 9, 2021 Accepting new patients
Recovery Services of Northwest Ohio, Inc CurrentSince Oct 1, 2024 Accepting new patients
Clear Minds Coaching & Counseling, LLC CurrentSince Jun 9, 2021 Accepting new patients
Shawnee Mental Health Center, Inc. CurrentSince Feb 4, 2017 Accepting new patients
Gary a Balster MD Inc Psychiatry Past Accepting new patients

Locations

200 Van Gundy Dr
Bryan, OH 43506
Phone (419) 636-0410

511 Perry St
Defiance, OH 43512
Phone (419) 782-4933

118 E Clinton St
Napoleon, OH 43545
Phone (419) 599-7040

4 E Seminary St
Norwalk, OH 44857
Phone (567) 424-6003

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rsnwo/r4/

Organizations & group practices 6

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1851393375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 TALON RIDGE CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454404306",
            "telephone_number": "937-657-7165",
            "fax_number": "937-848-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 METRO PL S STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175353",
            "telephone_number": "415-671-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-04-08",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-07-3834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.