NPIMap

Organization Active NPI

Dr Ajai J Agarwal MD PA

Doing business as Montwood Family Medical Center

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1851423990
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR AJAI J AGARWAL MD PA
Doing business as
Montwood Family Medical Center
Practice address
3022 Trawood Dr
El Paso, TX 79936-4329
Phone
(915) 855-8550
Fax
(915) 855-3311
NPI assigned
Mar 12, 2007
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Dr. Ajai J Agarwal, MDNPI 1437240256
Title
Owner
Phone
(915) 855-8550

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3022 Trawood Dr
El Paso, TX 79936-4329

Mailing address

3022 Trawood Dr
Ste. a
El Paso, TX 79936-4329
Phone (915) 855-8550

Other identifiers 1

IdentifierTypeStateIssuer
079777102MedicaidTX

Other names 1

  • MONTWOOD FAMILY MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000627 TX Part B Supplier - Clinic/Group Practice 4880683689 Receives reassigned benefits from 11 practitioners
Practice locations: Vinton, TX; Presidio, TX; El Paso, TX

National Provider Directory

National Provider Directory
Tax ID family
Ajai J Agarwal MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1015 N Zaragoza Rd
El Paso, TX 79907
Phone (915) 860-4762

10420 Montwood Dr
Ste H
El Paso, TX 79935
Phone (915) 598-2721

6065 Montana Ave
El Paso, TX 79925
Phone (915) 225-0216

9999 Kenworthy St
El Paso, TX 79924
Phone (915) 759-7757

7920 Doniphan Dr
Vinton, TX 79821
Phone (915) 886-3399

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1851423990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "address_2": "STE. A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364329",
            "telephone_number": "915-855-8550",
            "fax_number": "915-855-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364329",
            "telephone_number": "915-855-8550",
            "fax_number": "915-855-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AJAI J AGARWAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "AJAI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-855-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079777102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTWOOD FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MONTWOOD FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.