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SIDDHARTH PRAVIN AGRAWAL
NPI 1659101038
Student in an Organized Health Care Education/Training Program in Woonsocket, RI

Active since August 01, 2024PECOS Enrolled
115 CASS AVE, WOONSOCKET, RI 02895(401) 769-4100(401) 767-1651 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Siddharth Pravin Agrawal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIDDHARTH PRAVIN AGRAWAL (NPI 1659101038) is an individual student in an organized health care education/training program in Woonsocket, Rhode Island and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659101038
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSIDDHARTH PRAVIN AGRAWAL
Location Address115 CASS AVEWoonsocket, RI 02895-4705
Mailing Address115 Cass AveWoonsocket, RI 02895-4705 · (401) 769-4100 · Fax (401) 767-1651
Phone(401) 769-4100
Fax(401) 767-1651
Sole ProprietorNo
Enumeration DateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1659101038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
115 CASS AVE, Woonsocket, RI 02895
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siddharth Pravin Agrawal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES J KIM MD
Anesthesiology
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
LANA ADEL TANNOUS MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
BLACKSTONE MEDICAL CENTER, INC.
Internal Medicine
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. OMAR ALKASABRAH MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
LANDMARK MEDICAL CENTER
Internal Medicine (Cardiovascular Disease)
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. DAREN D GIRARD MD
Emergency Medicine
115 CASS AVE, EMERGENCY MEDICINE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
EMILY HOCHREINER
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
SALMAN AYUB JAJJA MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siddharth Agrawal's NPI number?

The NPI number for Siddharth Agrawal is 1659101038. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Siddharth Agrawal located?

Siddharth Agrawal practices at 115 Cass Ave, Woonsocket, RI 02895. The listed phone number is (401) 769-4100.

What is Siddharth Agrawal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Siddharth Agrawal enrolled in Medicare?

Yes. Siddharth Agrawal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Siddharth Agrawal was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.