Individual provider Active NPI

Girish Agrawal, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1285612572
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L4209 Issued in TX
Practice address
800 Peakwood Dr
Suite 5E
Houston, TX 77090-2900
Phone
(281) 440-5158
Fax
(281) 440-8549
NPI assigned
Jan 6, 2006
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L4209 TX Primary

Addresses

Primary practice location

800 Peakwood Dr
Suite 5E
Houston, TX 77090-2900

Mailing address

800 Peakwood Dr
Suite 5E
Houston, TX 77090-2900
Phone (281) 440-5158

Other identifiers 1

IdentifierTypeStateIssuer
1537714-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041228000935 TX Practitioner - Diagnostic Radiology 2567420284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12222 Laguna Terrace Dr
Houston, TX 77041-6175
Phone (832) 321-3434

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4209TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ag Radiology Imaging Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
Houston Northwest Radiology Assn Diagnostic Radiology PastSince Mar 13, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

601 Park Grove Dr
Park Row, TX 77450
Phone (713) 213-0167

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1285612572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "SUITE 5E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "281-440-5158",
            "fax_number": "281-440-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "SUITE 5E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "281-440-5158",
            "fax_number": "281-440-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "GIRISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L4209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537714-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.