DR. NIRAJ KUMAR AGARWALLA D.O.
NPI 1023374204
Anesthesiology in Philadelphia, PA
About Dr. Niraj Kumar Agarwalla D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NIRAJ KUMAR AGARWALLA D.O. (NPI 1023374204) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS018089) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Niraj Kumar Agarwalla D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Niraj Agarwalla reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Tunkhannock, PA 18657
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 830 clinicians in this Medicare group
Roaring Spring, PA 16673
- Reassigned Medicare billing, Pennsylvania enrollment
- 104 clinicians in this Medicare group
Ligonier, PA 15658
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Fairmount City, PA 16224
- Reassigned Medicare billing, Pennsylvania enrollment
- 482 clinicians in this Medicare group
Erie, PA 16502
- Reassigned Medicare billing, Pennsylvania enrollment
- 483 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Allegheny General Hospital
Acute Care Hospitals · Pittsburgh, PAConemaugh Memorial Medical Center
Acute Care Hospitals · Johnstown, PAOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILA, PA 19107
PHILADELPHIA, PA 19107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Niraj Agarwalla's NPI number?
The NPI number for Niraj Agarwalla is 1023374204. It was assigned to this individual provider in the NPPES registry on April 2, 2012.
Where is Niraj Agarwalla located?
Niraj Agarwalla practices at 111 S 11th Street Suite 8490, Philadelphia, PA 19107. The listed phone number is (215) 955-6161.
What is Niraj Agarwalla's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Niraj Agarwalla enrolled in Medicare?
Yes. Niraj Agarwalla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Niraj Agarwalla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Agarwalla reassigns Medicare benefits to 6 organizations: Tower Health Medical Group (Philadelphia, PA), Guthrie Medical Group, P.C, (Tunkhannock, PA), Grove City Anesthesia & Pain Management, PLLC (Roaring Spring, PA), Allegheny Clinic (Ligonier, PA), Butler Medical Providers (Fairmount City, PA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Niraj Agarwalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niraj Agarwalla accept?
Health plans from CareSource list Niraj Agarwalla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Niraj Agarwalla affiliated with any hospitals?
According to CMS data, Niraj Agarwalla is affiliated with Allegheny General Hospital and Conemaugh Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Niraj Agarwalla was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Niraj Kumar Agarwalla, D.O. · NPI 1023374204
Anesthesiology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 2, 2012.
## Identity
- **NPI:** 1023374204 (Entity type: Individual)
- **Enumerated:** April 2, 2012
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** OS018089 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S 11TH STREET, SUITE 8490, Philadelphia, PA 19107-4824
- **Phone:** (215) 955-6161 · **Fax:** (215) 923-5507
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Tower Health Medical Group (NPI 1306476924, Philadelphia, PA); Guthrie Medical Group, P.C, (NPI 1164471652, Tunkhannock, PA); Grove City Anesthesia & Pain Management, PLLC (NPI 1528371556, Roaring Spring, PA); Allegheny Clinic (NPI 1063946291, Ligonier, PA); Butler Medical Providers (NPI 1386253854, Fairmount City, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Bradenton, class of 2012
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023374204) · Data from the CMS NPPES public registry.