Active NPI
Manoj Kumar Agrawal, M.D.
- Interventional Cardiology Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME99219
- Practice address
- 311 W Oak St
Kissimmee, FL 34741-4421 - Phone
- (407) 933-1423
- Fax
- (407) 933-7901
- NPI assigned
- Aug 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME99219 | FL | |
| Interventional Cardiology Physician | 207RI0011X | ME99219 | FL | Primary |
Addresses
Primary practice location
311 W Oak St
Kissimmee, FL 34741-4421
Mailing address
311 W Oak St
Kissimmee, FL 34741-4421
Phone (407) 933-1423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070915000013 | FL | Practitioner - Interventional Cardiology | 2860470127 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiac Clinic of Sunil M. Kakkar, M.D, P.a
Practice addresses (Care Compare)
311 W Oak St
Kissimmee, FL 34741-4421
Phone (407) 933-1423
Hospital & facility affiliations
- Adventhealth Orlando
- HCA Florida Osceola Hospital
- HCA Florida Poinciana Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 81.21
- Improvement activities
- 40
- Cost
- 72.02
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME99219 | FL | MD | Interventional Cardiology Physician |
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt, Inc | Current | Accepting new patients | |
| Central Florida Cardiology Interpretations LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Cardiac Clinic of Sunil M. Kakkar, M.D, P.a | Cardiovascular Disease | Current | Accepting new patients |
| Adventist Health System-Sunbelt, Inc | Current | Accepting new patients | |
| University Group Medical Associates, P.C | Past | Accepting new patients |
Locations
510 Cypress Pkwy
Kissimmee, FL 34759
311 W Oak St
Kissimmee, FL 34741
Phone (407) 933-1423
400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1012 Cypress Pkwy
Poinciana, FL 34759
Phone (470) 933-1423
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Cardiology Physician
- Kissimmee, FL
- NPI 1457319329
Cardiovascular Disease, FL
-
- Cardiac Rehabilitation Clinic/Center
- Kissimmee, FL
- NPI 1528710100
-
- Cardiology Technician
- Sanford, FL
- NPI 1780807412
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1689784365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414421",
"telephone_number": "407-933-1423",
"fax_number": "407-933-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414421",
"telephone_number": "407-933-1423",
"fax_number": "407-933-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAWAL",
"first_name": "MANOJ",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME99219",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME99219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.