Active NPI
Abhishek R. Agrawal, MD
- Neuroradiology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- S1029
- Practice address
- 9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883 - Phone
- (713) 897-5900
- NPI assigned
- Mar 17, 2011
- Last updated
- Sep 12, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | ME146443 | FL | |
| Neuroradiology Physician | 2085N0700X | S1029 | TX | Primary |
| Diagnostic Radiology Physician | 2085R0202X | S1029 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | ME146443 | FL |
Addresses
Primary practice location
9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Mailing address
808 3Rd Ave W Ste 807
Bradenton, FL 34205-8672
Phone (917) 399-2970
Other practice location 1
1350 Hickory St Ste 101
Melbourne, FL 32901-3224
Phone (321) 434-8544
Other practice location 2
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-8544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QT791 | Other | FL | HFMG MA |
| 107535200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2020 59TH St W
Bradenton, FL 34209-4604
Phone (800) 437-2672
21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (904) 399-5550
8732 Fernwicke CT
Orlando, FL 32819-3830
Phone (888) 742-7927
Hospital & facility affiliations
- Holmes Regional Medical Center
- HCA Florida Fawcett Hospital
- Palm Bay Hospital
- Viera Hospital
- Cape Canaveral Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1029 | TX | MD | Neuroradiology Physician |
| ME146443 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Neighborhood Health Centers, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Neuroradiology | Current | Accepting new patients |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| MHS Physicians of Texas | Current | Accepting new patients | |
| MHS Physicians of Texas | Current | Accepting new patients | |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of Pinellas, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Neuroradiology | Current | Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401
1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020
909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523
18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530
10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727
9180 Pinecroft Dr
Ste 500
Shenandoah, TX 77380
Phone (713) 897-5900
17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770
Interoperability endpoints
- aagrawal21074@epicdirect.hf.org
Organizations & group practices 9
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Neuroradiology
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
Neuroradiology
-
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1104205046
-
- Neurological Surgery Physician
- Shenandoah, TX
- NPI 1184714867
-
- Hospitalist Physician
- Houston, TX
- NPI 1043266299
Diagnostic Radiology
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Houston, TX
- NPI 1144543604
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Diagnostic Radiology Physician
- Plantation, FL
- NPI 1427437367
-
dba DBA Pinellas Radiology Associates
- Diagnostic Radiology Physician
- West Palm Beach, FL
- NPI 1609211432
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba HCA Florida Fawcett Hospital
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1407155328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 3RD AVE W STE 807",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058672",
"telephone_number": "917-399-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR STE 500",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803883",
"telephone_number": "713-897-5900"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St Ste 101",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-8544",
"fax_number": "321-434-3438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-8544",
"fax_number": "321-434-3438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGRAWAL",
"first_name": "ABHISHEK",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-17",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "FL",
"license": "ME146443",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TX",
"license": "S1029",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "S1029",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME146443",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFMG MA",
"identifier": "QT791",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107535200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.