NPIMap

Individual provider Active NPI

Vishesh Agrawal, M.D.

  • Radiation Oncology Physician
  • New Hyde Park, NY
National Provider Identifier
1043669690
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
311839 Issued in NY
Practice address
3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone
(516) 394-9600
NPI assigned
Jun 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 311839 NY Primary

Addresses

Primary practice location

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209

Mailing address

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone (516) 394-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803000813 NY Practitioner - Radiation Oncology 8224322805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Professionals PLLC 91 clinicians

Practice addresses (Care Compare)

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone (516) 394-9600

Hospital & facility affiliations

  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311839NYMDAdult Health Nurse Practitioner

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Radiation Oncology CurrentSince Aug 9, 2021 Accepting new patients
Integrated Medical Professionals PLLC CurrentSince Aug 9, 2021 Accepting new patients

Locations

2510 Westchester Ave
Ste B
Bronx, NY 10461
Phone (718) 517-3000

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

5 Cuba Hill Rd
Ste 400
Greenlawn, NY 11740
Phone (631) 544-3400

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

1324 Motor Pkwy
Islandia, NY 11749
Phone (631) 963-7700

27005 76th Ave
North New Hyde Pk, NY 11040

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

688 Old Country Rd
Plainview, NY 11803
Phone (516) 932-6007

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

2 Medical Park Dr
Ste 9
West Nyack, NY 10994
Phone (845) 517-1720

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: vagrawal@imppllc.direct.varian.com

Organizations & group practices 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1043669690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421209",
            "telephone_number": "516-394-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421209",
            "telephone_number": "516-394-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "VISHESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-05",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "311839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.