Rajesh Agrawal, MD
Individual provider Active NPI Pulmonary Disease Physician · Pinellas Park, FL
NPI 1295712602 · NPPES record last updated Sep 9, 2014
Key facts
- NPI
- 1295712602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- ME68290 (FL)
- Practice address
- 6223 66TH Street North
Pinellas Park, FL 33781-5025 - Phone
- (727) 528-4900
- Fax
- (727) 528-8628
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Lung and Sleep Disorders Consultants PA
Practice addresses (Care Compare)
6223 66TH St N
Pinellas Park, FL 33781-5025
Phone (727) 528-4900
Hospital & facility affiliations
- HCA Florida Northside Hospital
- Adventhealth North Pinellas
- St Anthonys Hospital
- HCA Florida St Petersburg Hospital
- Morton Plant Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100909000492 | FL | Practitioner - Pulmonary Disease | 1355313941 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME68290 | FL | MD | Pulmonary Disease Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Lung and Sleep Disorders Consultants PA | Pulmonary Disease | Current |
Accepting new patients |
| Medical Associates of Pinellas LLC | Pulmonary Disease | Past | Accepting new patients |
Locations
6223 66th St N
Pinellas Park, FL 33781
Phone (727) 528-4900
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME68290 | FL | Yes |
Addresses
Primary practice location
6223 66TH Street North
Pinellas Park, FL 33781-5025
Mailing address
6223 66TH Street North
Pinellas Park, FL 33781-5025
Phone (727) 528-4900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467464990 | Other | FL | GROUP NPI |
| 261164300 | Medicaid | FL | |
| 6000/211534 | Other | AVMED PROVIDER NUMBERS | |
| 110200401 | Other | FL | MEDICARE RAILROAD INDIVIDUAL |
| 250206200 | Medicaid | FL | |
| CH2504 | Other | FL | MEDICARE RAILROAD GROUP |
Other providers in Pinellas Park, FL
- Advanced Allergy & Asthma Care PA
- Advanced Gastro & Liver Care PA
- Advent Orthopedics and Neurosurgery PA
- Advocare DME, Inc.
- Romy Aedo Parada
- Lucita Aguilera
- Ashley C Akakpo
- Al Investors of Pinellas Park, LLC
- Vanja Alagic
- Alan Norman DC PLLC
All providers in Pinellas Park, FL · Pulmonary Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.