Individual provider Active NPI

Deepak Agrawal, MD

  • Gastroenterology Physician
  • Austin, TX
National Provider Identifier
1417174707
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
N2900 Issued in TX
Practice address
5339 N Ih 35 Ste 100
Austin, TX 78723-2558
Phone
(512) 978-8130
NPI assigned
Apr 19, 2007
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X LP00546 RI
Gastroenterology Physician 207RG0100X N2900 TX Primary

Addresses

Primary practice location

5339 N Ih 35 Ste 100
Austin, TX 78723-2558

Mailing address

1111 E Cesar Chavez St
Austin, TX 78702-4209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090924000388 TX Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Infectious Disease 7618023177 Reassigns benefits to 3 organizations
I20260217001551 OH Practitioner - Gastroenterology 7618023177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

1601 Trinity St
Austin, TX 78712-1765

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP00546RIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School CurrentSince May 6, 2019 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 6, 2026 Accepting new patients
Seton Family of Doctors CurrentSince Jul 1, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Jul 1, 2019 Accepting new patients
Seton Family of Doctors Current Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince May 6, 2019 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 6, 2026 Accepting new patients
Travis County Healthcare District Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
Community Care Collaborative PastSince Jun 29, 2025 Accepting new patients

Locations

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

1111 E Cesar Chavez St
Austin, TX 78702
Phone (512) 978-8000

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: deepak.agrawal.1@16041.direct.athenahealth.com
  • Direct secure messaging: deepak.agrawal.1@8363.direct.athenahealth.com

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.

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1417174707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E CESAR CHAVEZ ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 N IH 35 STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232558",
            "telephone_number": "512-978-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "DEEPAK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "LP00546",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N2900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.