Pankaj Agrawal, MBBS

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

40719 Issued in IA

Practice address

3 S 4TH Ave
Marshalltown Medical & Surgical Cent
Marshalltown, IA 50158-2924

Phone

(641) 754-5151

NPI assigned

Jul 30, 2010

Last updated

Jul 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

HospitalistAlso: Family Practice

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians

Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SGMC Health Hospital, Valdosta, GA, CCN 110122

Merit-based Incentive Payment System (MIPS)

Final score

87.29 of 100Reported as group

Quality

70.79

Improvement activities

40

Cost

81.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Apogee Medical Group, Georgia, Inc.

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143
  Medicare reassignment Care Compare group NPD
• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Medicare reassignment Care Compare group NPD
• South Georgia Medical Center Inc

  dba SGMC Health Lanier

  • Critical Access Hospital
  • Lakeland, GA
  • NPI 1215703632
  NPD
• South Georgia Medical Center Inc

  dba SGMC Berrien Campus

  • Psychiatric Hospital Unit
  • Nashville, GA
  • NPI 1497521801
  NPD
• Hospital Authority of Valdosta and Lowndes County Georgia

  dba South Georgia Medical Center

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1306896253
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1861706038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S 4TH AVE",
            "address_2": "MARSHALLTOWN MEDICAL & SURGICAL CENT",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582924",
            "telephone_number": "641-754-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S 4TH AVE",
            "address_2": "MARSHALLTOWN MEDICAL & SURGICAL CENT",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582924",
            "telephone_number": "641-754-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "PANKAJ",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IA",
            "license": "40719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 13TH Street Chiropractic LLC
• Bailey Abbott, DDS
• Abilit Holdings (Glenwood Place) LLC (Glenwood Place)
• Accura Healthcare of Marshalltown LLC
• Melody Dawn Adelmund
• Julieta Aguilera-Perez
• Align Wellness LLC
• American Homepatient, Inc.
• Brooklyn Ann Marie Amundson
• Beth Ann Andrew, LISW

• Adult Medicine Physician in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Adult Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.

Verify at the official NPI Registry.