Individual provider Active NPI

Durgesh Kumar Agrawal, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1871268565
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0026834 Issued in DE
Practice address
2601 Holme Ave
Philadelphia, PA 19152
Phone
(215) 609-0365
NPI assigned
Aug 13, 2021
Reactivated
Dec 27, 2022
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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 C1-0026834 DE Primary

Addresses

Primary practice location

2601 Holme Ave
Philadelphia, PA 19152

Mailing address

2601 Holme Ave, Philadelphia
3Rd Floor Gme
Philadelphia, PA 19152
Phone (215) 609-0365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240924001262 PA Practitioner - Internal Medicine 2163963695 Reassigns benefits to 1 organization
I20240924001352 DE Practitioner - Internal Medicine 2163963695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

701 N Clayton St
Wilmington, DE 19805-3165
Phone (302) 421-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0026834DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Aug 5, 2024 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Feb 10, 2025 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Feb 10, 2025 Accepting new patients
Pennsylvania HM Associates PC CurrentSince Aug 5, 2024 Accepting new patients
Prospect CCMC, LLC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1240 McKee Rd
Dover, DE 19904
Phone (302) 672-5800

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2601 Holme Ave
Fl 3
Philadelphia, PA 19152
Phone (215) 335-6520

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

Organizations & group practices 5

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1871268565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE, PHILADELPHIA",
            "address_2": "3RD FLOOR GME",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-609-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-609-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "DURGESH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "deactivation_date": "2022-12-19",
        "reactivation_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0026834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.