Individual provider Active NPI

Narayan Das Agrawal, M.D.

  • Nephrology Physician
  • Fresh Meadows, NY
National Provider Identifier
1568438570
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
225128 Issued in NY
Practice address
160 - 40 78TH Road
2ND Floor
Fresh Meadows, NY 11366-1526
Phone
(347) 475-0911
Fax
(718) 380-3441
NPI assigned
Feb 28, 2006
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 225128 NY Primary

Addresses

Primary practice location

160 - 40 78TH Road
2ND Floor
Fresh Meadows, NY 11366-1526

Mailing address

16040 78TH Rd Ste 300
Fresh Meadows, NY 11366-1945
Phone (347) 475-0911

Other identifiers 1

IdentifierTypeStateIssuer
02559797MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040901000245 NY Practitioner - NephrologyPractitioner - Internal Medicine 6204801327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens Nephrology Practice PCGroup PAC ID 3779735519, 3 clinicians

Practice addresses (Care Compare)

16040 78TH Rd
Suite 300
Fresh Meadows, NY 11366-1969
Phone (347) 475-0911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
74.98
Promoting interoperability
72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225128NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Cardiopulmonary, P.C. Nephrology Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1568438570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 78TH RD STE 300",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661945",
            "telephone_number": "347-475-0911",
            "fax_number": "718-380-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 - 40 78TH ROAD",
            "address_2": "2ND FLOOR",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661526",
            "telephone_number": "347-475-0911",
            "fax_number": "718-380-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "NARAYAN",
        "middle_name": "DAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "225128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02559797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.