Active NPI
Suresh K Agrawal, MD
- Diagnostic Radiology Physician
- Point Pleasant, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13100
- Practice address
- 2520 Valley Dr
Point Pleasant, WV 25550-2031 - Phone
- (304) 675-4340
- Fax
- (304) 675-5893
- NPI assigned
- Jul 1, 2006
- Last updated
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13100 | WV | Primary |
Addresses
Primary practice location
2520 Valley Dr
Point Pleasant, WV 25550-2031
Mailing address
PO Box 840
Lima, OH 45802-0840
Phone (877) 574-7116
Other practice location 1
4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600
Other practice location 2
333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6500
Other practice location 3
4800 MacCorkle Ave SW
South Charleston, WV 25309-1332
Phone (304) 767-7730
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123522000 | Medicaid | WV | |
| 0525926 | Medicaid | OH | |
| 300054319 | Other | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sureshagra@pvhhealth.direct.wvhin.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.77 of 100
- Quality
- 57.54
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13100 | WV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanawha Valley Radiologists Incorporated | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
4800 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 306-3049
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Point Pleasant, WV
- NPI 1780613984
-
- Diagnostic Radiology Physician
- Point Pleasant, WV
- NPI 1164718193
-
- Diagnostic Radiology Physician
- South Charleston, WV
- NPI 1609975630
-
- Diagnostic Radiology Physician
- Huntington, WV
- NPI 1457339277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1114956323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840",
"city": "LIMA",
"state": "OH",
"postal_code": "458020840",
"telephone_number": "877-574-7116",
"fax_number": "419-223-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 VALLEY DR",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255502031",
"telephone_number": "304-675-4340",
"fax_number": "304-675-5893"
}
],
"practiceLocations": [
{
"address_1": "4605 MacCorkle Ave SW",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253091311",
"country_code": "US",
"telephone_number": "304-766-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Laidley St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011614",
"country_code": "US",
"telephone_number": "304-347-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 MacCorkle Ave SW",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253091332",
"country_code": "US",
"telephone_number": "304-767-7730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGRAWAL",
"first_name": "SURESH",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "13100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123522000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0525926",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "300054319",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sureshagra@pvhhealth.direct.wvhin.org",
"affiliation": "N",
"address_1": "2520 Valley Dr",
"city": "Point Pleasant",
"state": "WV",
"country_code": "US",
"postal_code": "255502031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.