DR. BROJENDRA AGARWALA M.D. NPI 1780668285

NPI Information

  • NPI: 1780668285
  • Provider Name: DR. BROJENDRA AGARWALA, M.D.
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5841 S MARYLAND AVE
    MC 4051
    CHICAGO, IL
    ZIP 60637
  • Phone: (773) 795-4475

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NPI Details

DR. Brojendra Agarwala, M.D. is a pediatric cardiology pediatrics in Chicago, IL. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Brojendra Agarwala, M.D. NPI is 1780668285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5841 S MARYLAND AVE
MC 4051
CHICAGO, IL
ZIP 60637-447
Phone: (773) 795-4475
Fax: (773) 702-2319

The NPI 1780668285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 3/14/2013.

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
12080P0202XPediatricsPediatric Cardiology036046668ILLINOISYes

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
1296680MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP 950150
2036046668MEDICAIDILLINOIS
301621679OTHERILLINOISBCBS OF IL
4C 42881MEDICARE UPIN

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: 11/21/2025

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