Individual provider Active NPI

Vishal Agrawal, M.D.

  • Pulmonary Disease Physician
  • Dublin, GA
National Provider Identifier
1902995178
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
TL24207 Issued in SC
Practice address
100 Medical Dr
Dublin, GA 31021-2559
Phone
(478) 272-3209
Fax
(478) 272-2283
NPI assigned
Oct 12, 2006
Last updated
Jun 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X TL24207 SC
Pulmonary Disease Physician 207RP1001X TL24207 SC Primary

Addresses

Primary practice location

100 Medical Dr
Dublin, GA 31021-2559

Mailing address

100 Medical Dr
Dublin, GA 31021-2559
Phone (478) 272-3209

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081006000679 GA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8921176777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
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 SolutionsGroup PAC ID 8123266400, 10 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
93.21 of 100Reported as group
Quality
75.33
Promoting interoperability
98
Improvement activities
40
Cost
75.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL24207SCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Staffing Solutions Critical Care Medicine CurrentSince Feb 26, 2013 Accepting new patients

Locations

100 Medical Dr
Dublin, GA 31021
Phone (478) 272-3209

100 Medical Dr
Ste 300
Dublin, GA 31021
Phone (478) 272-3209

105 Fairview Park Dr
Dublin, GA 31021
Phone (478) 274-1040

Interoperability endpoints

  • Direct secure messaging: vishal.agrawal.1@19776.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1902995178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212559",
            "telephone_number": "478-272-3209",
            "fax_number": "478-272-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212559",
            "telephone_number": "478-272-3209",
            "fax_number": "478-272-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "VISHAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "TL24207",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "TL24207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.