Active NPI
Gaurav Aggarwal, M.D.
- Gastroenterology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD60270097
- Practice address
- 11511 NE 10TH St # E460A
Bellevue, WA 98004-8578 - NPI assigned
- Jan 26, 2008
- Last updated
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 002021 | GA | |
| Gastroenterology Physician | 207RG0100X | 104295 | MN | |
| Gastroenterology Physician | 207RG0100X | MD60270097 | WA | Primary |
| Gastroenterology Physician | 207RG0100X | 52138 | MN |
Addresses
Primary practice location
11511 NE 10TH St # E460A
Bellevue, WA 98004-8578
Mailing address
11511 NE 10TH St # E460A
Bellevue, WA 98004-8578
Phone (425) 502-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2025184 | Medicaid | WA | |
| ENROLLED | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11511 NE 10TH St
Bellevue, WA 98004-8578
Phone (425) 502-3000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002021 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients |
Locations
12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060
1728 W Marine View Dr
Ste 111
Everett, WA 98201
4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122
11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000
14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- gaggarwal143312@ghc.direct-ci.net
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
dba Western Washington Medical Group Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1427005313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1902083587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 NE 10TH ST # E460A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048578",
"telephone_number": "425-502-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 NE 10TH ST # E460A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGARWAL",
"first_name": "GAURAV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-26",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "002021",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "104295",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD60270097",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "52138",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2025184",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11511 NE 10th St # E460A",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980048578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.