Active NPI
Anju Agarwal, DO
- Hospitalist Physician
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036105091
- Practice address
- 25 Winfield Road
400
Winfield, IL 60190 - Phone
- (630) 469-9200
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036105091 | IL | |
| Hospitalist Physician | 208M00000X | 036105091 | IL | Primary |
Addresses
Primary practice location
25 Winfield Road
400
Winfield, IL 60190
Mailing address
1860 Paysphere Cir
Chicago, IL 60674
Other practice location 1
2300 N Edward St Ste 3200
Decatur, IL 62526-4163
Phone (217) 876-3660
Other practice location 2
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000
Other practice location 3
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036105091 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aagarwal627578@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121
241 W Weaver Rd
Suite 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220
N2950 State Rd
Suite 67
Lake Geneva, WI 53147-2655
Phone (262) 245-0535
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3759 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Carle Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Decatur Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Internal Medicine | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Dupage Medical Group, LTD. | Past | Accepting new patients | |
| Sacred Heart Rehabilitation Institute, Inc. | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
2300 N Edward St
Ste 3200
Decatur, IL 62526
Phone (217) 876-3660
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
25 N Winfield Rd
#400
Winfield, IL 60190
Phone (630) 456-7178
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- aagarwal627578@excellian.direct.allina.com
- aagarwalmd222010@carlehiedirect.net
Organizations & group practices 17
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
dba Professional Fees
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1154908929
-
dba SBL Physician Billing
- Family Medicine Physician
- Mattoon, IL
- NPI 1568581379
Internal Medicine
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1952335671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WINFIELD ROAD",
"address_2": "400",
"city": "WINFIELD",
"state": "IL",
"postal_code": "60190",
"telephone_number": "630-469-9200"
}
],
"practiceLocations": [
{
"address_1": "2300 N Edward St Ste 3200",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625264163",
"country_code": "US",
"telephone_number": "217-876-3660",
"fax_number": "217-876-3665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554071321",
"country_code": "US",
"telephone_number": "612-863-4000",
"fax_number": "763-236-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-238-4325",
"fax_number": "217-348-4290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGARWAL",
"first_name": "ANJU",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036105091",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036105091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105091",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aagarwal627578@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2925 Chicago Ave",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554071321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.