Individual provider Active NPI

Anju Agarwal, DO

  • Hospitalist Physician
  • Winfield, IL
National Provider Identifier
1952335671
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036105091 Issued in IL
Practice address
25 Winfield Road
400
Winfield, IL 60190
Phone
(630) 469-9200
NPI assigned
Jul 10, 2006
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036105091MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aagarwal627578@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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
I20040514000475 IL Practitioner - Internal MedicinePractitioner - Hospitalist 4789674458 Reassigns benefits to 5 organizations
I20141017000064 WI Practitioner - Internal Medicine 4789674458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, shared by 14 NPIs, 749 clinicians

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

LicenseStateTypeSpecialty
3759AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Internal Medicine CurrentSince Apr 1, 2005 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Carle Health Medical Group Internal Medicine CurrentSince Feb 6, 2017 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Apr 12, 2021 Accepting new patients
Decatur Memorial Hospital Internal Medicine CurrentSince Oct 13, 2015 Accepting new patients
Allina Health System Current Accepting new patients
Decatur Memorial Hospital CurrentSince Oct 13, 2015 Accepting new patients
Sarah Bush Lincoln Health Center Internal Medicine CurrentSince Jun 18, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Central Dupage Physician Group CurrentSince Apr 1, 2005 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 18, 2024 Accepting new patients
Dupage Medical Group, LTD. Past Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 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

  • Direct secure messaging: aagarwal627578@excellian.direct.allina.com
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.