Vishal Agrawal, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Dublin, GA
NPI 1902995178 · NPPES record last updated Jun 7, 2013
Key facts
- NPI
- 1902995178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- TL24207 (SC)
- Practice address
- 100 Medical Dr
Dublin, GA 31021-2559 - Phone
- (478) 272-3209
- Fax
- (478) 272-2283
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Medical University of South Carolina College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Physicians Staffing Solutions
Practice addresses (Care Compare)
105 Fairview Park Dr
Dublin, GA 31021-2501
Phone (478) 272-3209
200 Industrail Blvd
Dublin, GA 31021-2981
Phone (201) 821-7900
Hospital & facility affiliations
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Fairview Park Hospital
- Dodge County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.21 of 100
- Quality
- 75.33
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 75.95
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081006000679 | GA | Practitioner - Pulmonary Disease |
8921176777 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL24207 | SC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Staffing Solutions | Critical Care Medicine | Current |
Accepting new patients |
Locations
100 Medical Dr
Ste 300
Dublin, GA 31021
Phone (478) 272-3209
105 Fairview Park Dr
Dublin, GA 31021
Phone (478) 274-1040
100 Medical Dr
Dublin, GA 31021
Phone (478) 272-3209
Interoperability endpoints
- vishal.agrawal.1@19776.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | TL24207 | SC | |
| Pulmonary Disease Physician | 207RP1001X | TL24207 | SC | Yes |
Addresses
Primary practice location
100 Medical Dr
Dublin, GA 31021-2559
Mailing address
100 Medical Dr
Dublin, GA 31021-2559
Phone (478) 272-3209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 576008010-013 | Other | SC | BLUE CROSS BLUE SHIELD |
| GP3549 | Medicaid | SC |
Other providers in Dublin, GA
- Aubrianne Adcock
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- Murli M Agrawal
- Brinda Dessuit Ahiayibor
- Air Evac EMS Inc.
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- Olamide A Alakija
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All providers in Dublin, GA · Pulmonary Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.