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ABHINAV AGARWAL M.B.B.S.
NPI 1043461445
Orthopaedic Surgery in Birmingham, AL

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment
2000 6TH AVE S FL 3, BIRMINGHAM, AL 35233(205) 801-8630(205) 975-9532 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2020, Sep 19, 2017 (2 updates tracked since 2017).

About Abhinav Agarwal M.b.b.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABHINAV AGARWAL M.B.B.S. (NPI 1043461445) is an individual orthopaedic surgery provider in Birmingham, Alabama, licensed in Alabama (L.5105SP) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1043461445
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameABHINAV AGARWALCredential: M.B.B.S.
Location Address2000 6TH AVE S FL 3Birmingham, AL 35233-2110
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Phone(205) 801-8630
Fax(205) 975-9532
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 3, 2008
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1043461445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in AL · L.5105SP✔ Licensed in AL · L5105F✔ Licensed in AL · L4576F
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2000 6TH AVE S FL 3, Birmingham, AL 35233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abhinav Agarwal M.b.b.s. 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.

PECOS PAC ID3375819303
PECOS Enrollment IDI20171019000550
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAY SPITLER
Orthopaedic Surgery (Orthopaedic Trauma)
2000 6TH AVE S FL 3
BIRMINGHAM, AL 35233
Jefferson County (205) 801-8630
JONATHAN QUADE
Orthopaedic Surgery
2000 6TH AVE S FL 3
BIRMINGHAM, AL 35233
Jefferson County (205) 801-8630
JOSEPH JOHNSON M.D.
Orthopaedic Surgery
2000 6TH AVE S FL 3
BIRMINGHAM, AL 35233
Jefferson County (205) 801-8630

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 Abhinav Agarwal's NPI number?

The NPI number for Abhinav Agarwal is 1043461445. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Abhinav Agarwal located?

Abhinav Agarwal practices at 2000 6th Ave S Fl 3, Birmingham, AL 35233. The listed phone number is (205) 801-8630.

What is Abhinav Agarwal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Abhinav Agarwal enrolled in Medicare?

Yes. Abhinav Agarwal 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.

What insurance does Abhinav Agarwal accept?

Health plans from Blue Cross and Blue Shield of Alabama list Abhinav Agarwal 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.

When was this NPI record last updated?

The NPPES record for Abhinav Agarwal was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.