CMS-1500 Box 24J / 33a • NPI
1790021848
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RB0002X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
20 YORK STREET, CB-2041, NEW HAVEN, CT, 06510-3220
✓ 9-Digit EDI 837 ZIP+4 (06510-3220)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790021848 (NIVEDITA AGARWAL, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790021848 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NIVEDITA AGARWAL, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RB0002X (Internal Medicine, Bariatric Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 20 YORK STREET, CB-2041, NEW HAVEN, CT, 06510-3220 |
| Practice Telephone / Fax | Tel: (203) 688-4748 | Fax: (203) 688-4740 |
| Administrative Mailing Address | 20 YORK STREET, CB-2041, NEW HAVEN, CT, 06510-3220 |
| Enumeration & Last Sync | Enumerated: 2012-12-18 | CMS Record Updated: 2025-09-09 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RB0002X)
What Does Taxonomy Code 207RB0002X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RB0002X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NIVEDITA AGARWAL, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NY | License: 267993 | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: CT | License: 64500 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: CA | License: A123379 | Primary: Secondary |
207RB0002X — Internal Medicine, Bariatric MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: CT | License: 64500 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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