Active NPI
Narayan Das Agrawal, M.D.
- Nephrology Physician
- Fresh Meadows, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 225128
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02559797 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16040 78TH Rd
Suite 300
Fresh Meadows, NY 11366-1969
Phone (347) 475-0911
Hospital & facility affiliations
- Novo Dialysis Jamaica, LLC
- DaVita Ozone Park Dialysis
- DaVita Van Wyck Dialysis
- Queens-Long Island Renal Institute
- DaVita Queens Village Dialysis Center
- Long Island Jewish Medical Center
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.84 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 225128 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Nephrology Physician
- Fresh Meadows, NY
- NPI 1093070500
-
dba Western Queens Health Associates
- Cardiovascular Disease Physician
- Long Island City, NY
- NPI 1871589200
Nephrology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ozone Park Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ozone Park, NY
- NPI 1396285045
Dialysis facility
-
dba Van Wyck Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jamaica, NY
- NPI 1942792239
Dialysis facility
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
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
- Advanced Dental Concepts PC
- Advanced Pain Medicine and Rehabilitation PC
- Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services (Advanced S.P.O.R.T.S.)
- Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services (Advanced S.P.O.R.T.S.)
- Jessica Aghavian, BCBA LBA
- Angela Maria Agrusa
- Louis Adrian Aguilar
- Jacquelin Ahlgren
- Obaid Ahmad Sagher, PA
- Bashir Naeem Ahmed, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.