Individual provider Active NPI

Kamlesh Kumar Aggarwal, MD

  • Internal Medicine Physician
  • E Liverpool, OH
National Provider Identifier
1861413627
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35045044A Issued in OH
Practice address
425 W 5TH St
E Liverpool, OH 43920-2405
Phone
(330) 386-2926
Fax
(330) 386-2928
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35045044A OH Primary

Addresses

Primary practice location

425 W 5TH St
E Liverpool, OH 43920-2405

Mailing address

PO Box 645409
Pittsburgh, PA 15264-5252
Phone (330) 386-6442

Other identifiers 1

IdentifierTypeStateIssuer
0427425MedicaidOH

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
I20051216000144 OH Practitioner - Internal Medicine 9133140288 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35045044AOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Physicians, LLC CurrentSince Feb 15, 2014 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

123 W 6th St
East Liverpool, OH 43920
Phone (330) 385-7170

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

119 W 6th St
East Liverpool, OH 43920
Phone (330) 385-6566

205 W 6th St
East Liverpool, OH 43920
Phone (330) 385-6566

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1861413627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645409",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645252",
            "telephone_number": "330-386-6442",
            "fax_number": "330-386-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST",
            "city": "E LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405",
            "telephone_number": "330-386-2926",
            "fax_number": "330-386-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "KAMLESH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35045044A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Liverpool, OH

Sources for this page

Verify at the official NPI Registry.