Individual provider Active NPI

Vijay Kumar Agarwal, MD

  • Internal Medicine Physician
  • Bloomington, IN
National Provider Identifier
1972736023
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01082301A Issued in IN
Practice address
601 W 2ND St
Bloomington, IN 47403
Phone
(812) 676-4542
NPI assigned
Aug 24, 2009
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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 200801438 NC
Internal Medicine Physician 207R00000X 01082301A IN Primary

Addresses

Primary practice location

601 W 2ND St
Bloomington, IN 47403

Mailing address

PO Box 1329
Bloomington, IN 47402-1329
Phone (812) 676-4542

Other practice location 1

601 N Elm St
High Point, NC 27262-4331
Phone (336) 878-6206

Other practice location 2

601 N Elm St
High Point, NC 27262-4331
Phone (336) 878-6206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100712000215 NC Practitioner - Internal Medicine 0143352120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of North Carolina PCGroup PAC ID 7911954714, 66 clinicians
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (336) 538-7000

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082301AINMDInternal Medicine Physician
200801438NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Jul 8, 2016 Accepting new patients
Wakemed Specialists Group LLC CurrentSince May 7, 2020 Accepting new patients
Cornerstone Health Care LLC Internal Medicine CurrentSince Jul 8, 2016 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Hospitalist Medicine Physicians of North Carolina - Rocky Mount Internal Medicine CurrentSince Sep 13, 2018 Accepting new patients
Wakemed Specialists Group, LLC Internal Medicine CurrentSince May 7, 2020 Accepting new patients
Bilal Ahmad MD, PA Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Interoperability endpoints

  • Direct secure messaging: vagarwal311989@directhisp.wakemed.org
  • Direct secure messaging: vagarwal78329@direct.unc.nchie.net

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1972736023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474021329",
            "telephone_number": "812-676-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-676-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624331",
            "country_code": "US",
            "telephone_number": "336-878-6206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624331",
            "country_code": "US",
            "telephone_number": "336-878-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "VIJAY",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200801438",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01082301A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.