Vivek Agarwal, M.D.
Individual provider Active NPI Nephrology Physician · Lima, OH
NPI 1982918199 · NPPES record last updated Mar 9, 2016
Key facts
- NPI
- 1982918199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 35.121948 (OH)
- Practice address
- 750 W High St
Suite 150
Lima, OH 45801-2969 - Phone
- (419) 227-1359
- Fax
- (419) 227-7586
- NPI assigned
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Health Physicians North Specialty Care LLC
Mercy Health Physicians Lima Specialty Care LLC
Practice addresses (Care Compare)
27 St Lawrence Dr
Suite 201
Tiffin, OH 44883-8314
Phone (419) 455-8500
750 W High St
Suite 150
Lima, OH 45801-3961
Phone (419) 227-1359
Hospital & facility affiliations
- Fresenius Kidney Care Celina
- Fresenius Kidney Care Lima
- FMC - RCG Van Wert
- DaVita Seneca Dialysis
- DaVita Kenton Dialysis
- Mercy Health St Ritas Medical Center
- Mercer County Joint Township Community Hospital
- Mercy Health - Tiffin Hospital
- Grand Lake Health System
- Lima Memorial Health System
- St Ritas Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131212001734 | OH | Practitioner - Nephrology |
7810179348 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08798300 | NJ | MD | Internal Medicine Physician |
| 35.121948 | OH | MD | Nephrology Physician |
| 65077 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima Specialty Care LLC | Hospitalist | Current |
Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Hospitalist | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
900 Havemann Rd
Ste D
Celina, OH 45822
Phone (419) 228-8950
1207 E Columbus St
Kenton, OH 43326
Phone (419) 675-4075
770 W High St
Lima, OH 45801
Phone (419) 996-5240
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
750 W High St
Ste 150
Lima, OH 45801
601 US Route 224
Ottawa, OH 45875
Phone (419) 228-8950
27 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-3486
27 St Lawrence Dr
Ste 201
Tiffin, OH 44883
Phone (419) 455-8500
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
Interoperability endpoints
- vagarwal7269@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08798300 | NJ | |
| Nephrology Physician | 207RN0300X | 065077 | GA | |
| Nephrology Physician | 207RN0300X | 35.121948 | OH | Yes |
| Hospitalist Physician | 208M00000X | 65077 | GA |
Addresses
Primary practice location
750 W High St
Suite 150
Lima, OH 45801-2969
Mailing address
PO Box 636930
Cincinnati, OH 45263-6930
Phone (513) 981-5123
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.