Individual provider Active NPI

Poonam Goyal Agarwal, MD

  • Cardiovascular Disease Physician
  • Plano, TX
National Provider Identifier
1861455446
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K9006 Issued in TX
Practice address
4104 W 15TH St
Suite 201
Plano, TX 75093-5860
Phone
(972) 596-9200
Fax
(972) 596-9206
NPI assigned
Apr 6, 2006
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K9006 TX Primary

Addresses

Primary practice location

4104 W 15TH St
Suite 201
Plano, TX 75093-5860

Mailing address

4104 W 15TH St
Ste 201
Plano, TX 75093-5866
Phone (972) 378-9800

Other identifiers 1

IdentifierTypeStateIssuer
104608806MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100830000078 TX Practitioner - Cardiovascular Disease (Cardiology) 6305837782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4104 W 15TH St
Suite 201
Plano, TX 75093-5866
Phone (972) 596-9200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Heart Hospital of the Southwest LLP CurrentSince Feb 1, 2018 Accepting new patients
Plano Heart Center, P.a. Cardiovascular Disease CurrentSince Jul 1, 2003 Accepting new patients
Texas Heart Hospital of the Southwest LLC CurrentSince Feb 1, 2018 Accepting new patients
Doctors Interpretive Services Cardiovascular Disease Past Accepting new patients
Heartplace, PLLC Cardiovascular Disease Past Accepting new patients
Cardiac Center of Texas PA Cardiovascular Disease Past Accepting new patients
Joseph a. Meacham, M.D., P.a. Past Accepting new patients

Locations

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4104 W 15th St
Ste 201
Plano, TX 75093
Phone (972) 596-9200

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Jul 24, 2012
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Jul 24, 2012
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 2

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1861455446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 W 15TH ST",
            "address_2": "STE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935866",
            "telephone_number": "972-378-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 W 15TH ST",
            "address_2": "SUITE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935860",
            "telephone_number": "972-596-9200",
            "fax_number": "972-596-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "POONAM",
        "middle_name": "GOYAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K9006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104608806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.