Individual provider Active NPI

Anurag Agarwal, M.D.

  • Facial Plastic Surgery Physician
  • Naples, FL
National Provider Identifier
1972539237
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
ME91699 Issued in FL
Practice address
1175 Creekside Pkwy Ste 100
Naples, FL 34108-2068
Phone
(239) 594-9100
Fax
(239) 594-3054
NPI assigned
Jun 25, 2006
Last updated
Jun 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X ME91699 FL Primary

Addresses

Primary practice location

1175 Creekside Pkwy Ste 100
Naples, FL 34108-2068

Mailing address

1175 Creekside Pkwy
Suite 100
Naples, FL 34108-2068
Phone (239) 594-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000232 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 1951334465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Drexel University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Surgery Center IncGroup PAC ID 6204937766, 2 clinicians

Practice addresses (Care Compare)

1175 Creekside Pkwy
Suite 100
Naples, FL 34108-1921
Phone (239) 594-9100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Surgery Center Inc CurrentSince May 1, 2014 Accepting new patients
The Aesthetic Surgery Center CurrentSince May 1, 2014 Accepting new patients

Locations

11181 Health Park Blvd
Ste 1115
Naples, FL 34110
Phone (239) 594-9100

1175 Creekside Pkwy
Ste 100
Naples, FL 34108
Phone (239) 594-9100

Organizations & group practices 2

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1972539237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CREEKSIDE PKWY",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082068",
            "telephone_number": "239-594-9100",
            "fax_number": "239-594-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CREEKSIDE PKWY STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082068",
            "telephone_number": "239-594-9100",
            "fax_number": "239-594-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "ANURAG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME91699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.