Individual provider Active NPI

Manoj Kumar Agrawal, M.D.

  • Interventional Cardiology Physician
  • Kissimmee, FL
National Provider Identifier
1689784365
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME99219 Issued in FL
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

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070915000013 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860470127 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
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.aGroup PAC ID 1951371038, 8 clinicians

Practice addresses (Care Compare)

311 W Oak St
Kissimmee, FL 34741-4421
Phone (407) 933-1423

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
81.21
Improvement activities
40
Cost
72.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99219FLMDInterventional Cardiology Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt, Inc Current Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince Apr 16, 2013 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Cardiac Clinic of Sunil M. Kakkar, M.D, P.a Cardiovascular Disease CurrentSince Jul 1, 2007 Accepting new patients
Adventist Health System-Sunbelt, Inc CurrentSince Apr 4, 2022 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.

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": "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

Verify at the official NPI Registry.