Individual provider Active NPI

Kush Agrawal, MD

  • Interventional Cardiology Physician
  • Chandler, AZ
National Provider Identifier
1174700272
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
51949 Issued in AZ
Practice address
333 N Dobson Rd
Suite 11
Chandler, AZ 85224-4412
Phone
(480) 899-2020
NPI assigned
Jan 30, 2008
Last updated
Sep 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A136299 CA
Interventional Cardiology Physician 207RI0011X 53874 TN
Interventional Cardiology Physician 207RI0011X 51949 AZ Primary

Addresses

Primary practice location

333 N Dobson Rd
Suite 11
Chandler, AZ 85224-4412

Mailing address

333 N Dobson Rd
Suite 11
Chandler, AZ 85224-4412
Phone (480) 899-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160818002663 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 1052590759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Peripheral Vascular Disease
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

7373 N Scottsdale Rd
Suite B120
Scottsdale, AZ 85253-3555
Phone (480) 718-5072

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A136299CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Cardiovascular Disease CurrentSince Feb 1, 2021 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 1, 2021 Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients
Spine & Sports Rehabilitation Institute PastSince Oct 1, 2013 Accepting new patients
Cogent Healthcare of Jackson Ms, LLC Internal Medicine Past Accepting new patients

Locations

10101 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1919

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

16427 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85254
Phone (480) 718-5072

7373 N Scottsdale Rd
Ste B120
Scottsdale, AZ 85253
Phone (480) 718-5072

Interoperability endpoints

  • Direct secure messaging: kagrawal362864@direct.honorhealth.com

Organizations & group practices 7

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 3

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1174700272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N DOBSON RD",
            "address_2": "SUITE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244412",
            "telephone_number": "480-899-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N DOBSON RD",
            "address_2": "SUITE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244412",
            "telephone_number": "480-899-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "KUSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A136299",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "53874",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "51949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.