Anjani Kumar Agarwala
Individual provider Active NPI Family Nurse Practitioner · Burlington, MA
NPI 1861053993 · NPPES record last updated Jun 28, 2019
Key facts
- NPI
- 1861053993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2320504 (MA)
- Practice address
- 260 Winn St Apt B
Burlington, MA 01803-2636 - Phone
- (617) 868-1249
- NPI assigned
- Jun 28, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthdrive Behavioral Health Services, PLLC
Practice addresses (Care Compare)
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (888) 964-6681
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191220000583 | MA | Practitioner - Nurse Practitioner | 8325472582 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Behavioral Health Services, PLLC | Current |
Accepting new patients | |
| Charter Health PC | Current |
Accepting new patients | |
| Marlborough Hospitalist Group, PLLC | Current |
Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611
888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293
103 Myron St
Ste A
West Springfield, MA 01089
Phone (978) 388-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2320504 | MA | Yes |
Addresses
Primary practice location
260 Winn St Apt B
Burlington, MA 01803-2636
Mailing address
260 Winn St Apt B
Burlington, MA 01803-2636
Phone (617) 868-1249
Other providers in Burlington, MA
- Tinamarie Adly
- Tsiani Richard Adopleh
- Advanced Dental Care
- Advanced Home Health Group LLC
- Jalil Afnan
- Donna M Agave
- Mostafa Aglan
- Vincent Agnello
- Heideh K Ahari
- Saumya Ahluwalia
All providers in Burlington, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.