Mahesh Kumar Agarwal (NPI# 1730238874, PAC ID# 4688606916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1730238874 |
| PAC ID by PECOS | 4688606916 |
| Professional Enrollment ID | I20050910000069 |
| Full Name | Mahesh Kumar Agarwal |
| Organization Legal Name | WAUKEGAN CLINIC CORP |
| Address |
200 S Greenleaf St Suite A Gurnee IL 60031-3398 |
| Phone Number | 8472445660 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1963 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 4284631086 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140084 | VISTA MEDICAL CENTER EAST |
| Address | Phone | Organization |
|---|---|---|
| 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 8472445660 | WAUKEGAN CLINIC CORP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 45% |
| Organization Legal Name | WAUKEGAN CLINIC CORP |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Luzentales | Nurse Practitioner | Waukegan Clinic Corp | 1616 Grand Ave, Suite A, Waukegan, IL 60085-3676 |
| Sherry A Owen | Nurse Practitioner | Waukegan Clinic Corp | 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 |
| Anita Bhardwaj | Family Medicine | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Mathangi R Sekharan | Internal Medicine | Waukegan Clinic Corp | 103 S Greenleaf St A, Gurnee, IL 60031-3380 |
| Richard A Margolin | Family Medicine | Waukegan Clinic Corp | 15 Commerce Dr, Suite 113, Grayslake, IL 60030-7807 |
| Daisy S Andaleon | Family Medicine | Waukegan Clinic Corp | 1616 Grand Ave B, Waukegan, IL 60085-3676 |
| Asif Anwar | Internal Medicine | Waukegan Clinic Corp | 15 Tower Ct, Suite 265, Gurnee, IL 60031-3340 |
| Srikanth Davuluri | Pulmonary Disease | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Ralph A Seymoure | Physician Assistant | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Lavanya Srinivasan | Pulmonary Disease | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Street Address |
200 S GREENLEAF ST SUITE A |
| City | GURNEE |
| State | IL |
| Zip | 60031-3398 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Bhardwaj | Family Medicine | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Srikanth Davuluri | Pulmonary Disease | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Ralph A Seymoure | Physician Assistant | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Kelly Mularkey | Physician Assistant | Cardiac Surgery Associates Sc | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 |
| Susan A Urban | Clinical Social Worker | Northshore University Healthsystem Faculty Practice Associates | 200 S Greenleaf St, Suite E, Gurnee, IL 60031-3398 |
| Laura Melissa Benson | Psychologist, Clinical | Northshore University Healthsystem Faculty Practice Associates | 200 S Greenleaf St, Suite E, Gurnee, IL 60031-3398 |
| Lavanya Srinivasan | Pulmonary Disease | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Maria Arcadia Rocha | Clinical Social Worker | Northshore University Healthsystem Faculty Practice Associates | 200 S Greenleaf St, Suite E, Gurnee, IL 60031-3398 |
| Marina Gladson | Family Medicine | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Lizel A Granada | Nurse Practitioner | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Caplan | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rebecca E Jacobson | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Lauren E Rosen | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Esther Y Liu | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Erik B Pauls | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Smitha K. John | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Brenda Y Kim | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rajiv K Udani | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Nancy A Nora | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Therese A Hughes | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Find all physicians in zip 60031 | |||
| City | GURNEE |
| Zip Code | 60031 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | GURNEE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Mahesh Kumar Agarwal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.