Individual provider Active NPI

Yashwant Agrawal, MD

  • Interventional Cardiology Physician
  • Chandler, AZ
National Provider Identifier
1063850709
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
62297 Issued in AZ
Practice address
1960 W Frye Rd Ste 5
Chandler, AZ 85224-6238
Phone
(480) 917-5900
Fax
(520) 836-6663
NPI assigned
Jun 4, 2013
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 62297 AZ
Interventional Cardiology Physician 207RI0011X 62297 AZ Primary

Addresses

Primary practice location

1960 W Frye Rd Ste 5
Chandler, AZ 85224-6238

Mailing address

1960 W Frye Rd Ste 5
Chandler, AZ 85224-6238
Phone (480) 917-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210405002275 AZ Practitioner - Cardiovascular Disease (Cardiology) 9133350531 Reassigns benefits to 1 organization
I20251002005131 FL Practitioner - Interventional Cardiology 9133350531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Western Michigan Un Homer Stryker School of Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ibrahim Heart Clinic PLLCGroup PAC ID 4688958648, 43 clinicians
Cedars Heart Clinic, LLCGroup PAC ID 1658376744, 9 clinicians

Practice addresses (Care Compare)

1590 Island LN
Suite 73
Fleming Island, FL 32003-4409
Phone (904) 580-4730

1968 N Peart Rd BLDG B
Suite 4
Casa Grade, AZ 85222-2495
Phone (520) 836-6661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
85.08
Improvement activities
40
Cost
74.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62297AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ibrahim Heart Clinic PLLC CurrentSince Oct 1, 2025 Accepting new patients
Cedars Heart Clinic, LLC Interventional Cardiology CurrentSince May 1, 2021 Accepting new patients
Cedars Heart Clinic, LLC Interventional Cardiology CurrentSince Mar 1, 2021 Accepting new patients

Locations

1968 N Peart Rd
Ste 4
Casa Grande, AZ 85122
Phone (520) 836-6661

1445 W Chandler Blvd
Ste B10
Chandler, AZ 85224
Phone (480) 385-5055

1960 W Frye Rd
Ste 5
Chandler, AZ 85224
Phone (480) 917-5900

215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203

1590 Island Ln
Ste 73
Fleming Island, FL 32003

5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900

850 E Main St
Lake Butler, FL 32054
Phone (386) 496-1922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAEEBA

Organizations & group practices 3

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

Hospital & facility affiliations 4

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1063850709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 W FRYE RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246238",
            "telephone_number": "480-917-5900",
            "fax_number": "520-836-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 W FRYE RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246238",
            "telephone_number": "480-917-5900",
            "fax_number": "520-836-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "YASHWANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "62297",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "62297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.