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Deactivated NPI 1245728401 Deactivated / Inactive NPI Male Practitioner

Nitish Jagpal

Pediatrics • Richland, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nitish Jagpal has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 24, 2018
NPI Deactivation Date November 29, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Nitish Jagpal was a registered Pediatrics practicing in Richland, WA. Throughout an active medical career spanning 1 years, Nitish Jagpal provided care at the practice location at 829 GOETHALS DR until profile deactivation on 2018-11-29.

Practice Location & Contact Primary Location

Practice Address

829 Goethals Dr

Richland, WA 993523529

Telephone 5095472204
Fax 5095428836
Associated Practice Facility / Clinic
🏢 Tri-Cities Community Health Facility NPI 1427394568

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Richland, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Richland, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD61116875

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bobbi Thompson , RDH

Dental Hygienist

NPI 1003442245

Registered Dental Hygienist

NPI 1013120112

Doctor of Medicine (M.D.)

NPI 1033211024

Doctor of Optometry

Maria Mendoza

Case Manager/Care Coordinator

NPI 1033313952
Zaira Garibaldo

Social Worker

NPI 1033697354
NPI 1073926978

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location June 30, 2021

Registered at 829 GOETHALS DR, RICHLAND, WA 993523529 (Tel: 5095472204)

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Updated Business Mailing Address June 30, 2021

Registered at PO BOX 1452, PASCO, WA 993011223 (Tel: 5095472204)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2021

Pediatrics (License #MD61116875 in WA)

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Updated Practice Location May 08, 2019

Registered at 2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554 (Tel: 5165726177)

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Updated Business Mailing Address May 08, 2019

Registered at 2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554 (Tel: 5165726177)

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Provider Name / Credentials Updated May 08, 2019

Recorded as NITISH JAGPAL

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2019

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated November 29, 2018

Record deactivated on November 29, 2018

NPI Profile Active April 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2018

Registered at 2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554 (Tel: 5165726177)

📍
Updated Business Mailing Address April 24, 2018

Registered at 2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554 (Tel: 5165726177)

👤
Provider Name / Credentials Updated April 24, 2018

Recorded as NITISH JAGPAL

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2018

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration April 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245728401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2018
Last Update: June 30, 2021
Deactivation Date: November 29, 2018
Sole Proprietor: No

Mailing Address

Po Box 1452

Pasco, WA 993011223

Phone: 5095472204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.