MR. JEFFREY D AGRICOLA DPM NPI 1154327740

NPI Information

  • NPI: 1154327740
  • Provider Name: MR. JEFFREY D AGRICOLA, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 277 E CARMEL DR
    STE D
    CARMEL, IN
    ZIP 46032
  • Phone: (317) 846-4111

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NPI Details

MR. Jeffrey D Agricola, DPM is a foot and ankle surgery podiatrist in Carmel, IN with 25 years of experience. MR. Jeffrey D Agricola, DPM NPI is 1154327740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:2000

The provider's business location address is:

277 E CARMEL DR
STE D
CARMEL, IN
ZIP 46032-609
Phone: (317) 846-4111
Fax: (317) 846-1767

The NPI 1154327740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection into tendon or ligament (HCPCS:20550)
  • Application of short leg splint from calf to foot (HCPCS:29515)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)

The enumeration date for this NPI number is 6/28/2005 and was last updated on 4/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery07000947AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16332990001MEDICARE NSCINDIANA
2U91344MEDICARE UPININDIANA
3P00805636MEDICARE PININDIANA
4264350AMEDICARE PININDIANA
5200409540MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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