NPIMap

Individual provider Active NPI

Amit Agrawal, MD

  • Gastroenterology Physician
  • Charleston, SC
National Provider Identifier
1003906017
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25131 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-8908
Phone
(843) 792-1414
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 18456 ME
Gastroenterology Physician 207RG0100X 25131 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-8908

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other practice location 1

417 State St Ste 121
Bangor, ME 04401-6630
Phone (207) 973-4266

Other practice location 2

125 Doughty St Ste 280
Charleston, SC 29403-5727
Phone (843) 720-8369

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aagrawal20424@direct.musc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, ME, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080715000217 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 7315010097 Reassigns benefits to 3 organizations
I20091030000321 ME Practitioner - Gastroenterology 7315010097 Reassigns benefits to 1 organization
I20260515000178 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 7315010097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians
University Medical Associates of the Medical University of South CarolGroup PAC ID 6305758574, 1,634 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

125 Doughty St
Suite 280
Charleston, SC 29403-5727
Phone (843) 720-8369

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

417 State St
Bangor, ME 04401-6630

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy144
Upper gastrointestinal (GI) endoscopy for acid reflux181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18456MEMDGastroenterology Physician
25131SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Gastroenterology CurrentSince Aug 12, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 15, 2009 Accepting new patients
Roper St. Francis Specialty Physicians Gastroenterology CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 12, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Gastroenterology CurrentSince Jul 1, 2008 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 1, 2008 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 15, 2009 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

417 State St
Ste 121
Bangor, ME 04401
Phone (207) 947-0147

489 State St
Bangor, ME 04401
Phone (207) 973-8837

43 Whiting Hill Rd
Brewer, ME 04412
Phone (207) 973-5000

43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000

125 Doughty St
Ste 280
Charleston, SC 29403
Phone (843) 577-6957

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

1300 Hospital Dr
Ste 210
Mt Pleasant, SC 29464
Phone (803) 884-2477

8950 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 402-1766

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: aagrawal2678689@direct.bsmhealth.org
  • Direct secure messaging: aagrawal20424@direct.musc.edu

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1003906017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258908",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 State St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016630",
            "country_code": "US",
            "telephone_number": "207-973-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Doughty St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294035727",
            "country_code": "US",
            "telephone_number": "843-720-8369",
            "fax_number": "843-720-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "18456",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "25131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aagrawal20424@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "171 Ashley Ave",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294258908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.