Individual provider Active NPI

Sangeeta Agrawal, MD

  • Gastroenterology Physician
  • Kettering, OH
National Provider Identifier
1871574830
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35081720A Issued in OH
Practice address
999 Brubaker Dr
#1, Digestive Specialists Inc
Kettering, OH 45429-3588
Phone
(937) 293-2169
Fax
(937) 297-2203
NPI assigned
Nov 8, 2005
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35081720A OH Primary

Addresses

Primary practice location

999 Brubaker Dr
#1, Digestive Specialists Inc
Kettering, OH 45429-3588

Mailing address

999 Brubaker Dr
#1, Digestive Specialists Inc
Kettering, OH 45429-3588
Phone (937) 293-2169

Other identifiers 1

IdentifierTypeStateIssuer
2478297MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Specialists Inc Gastroenterology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1871574830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 BRUBAKER DR",
            "address_2": "#1, DIGESTIVE SPECIALISTS INC",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293588",
            "telephone_number": "937-293-2169",
            "fax_number": "937-297-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BRUBAKER DR",
            "address_2": "#1, DIGESTIVE SPECIALISTS INC",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293588",
            "telephone_number": "937-293-2169",
            "fax_number": "937-297-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "SANGEETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35081720A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2478297",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.