DR. AMOL AGARWAL MD
NPI 1043604473
Internal Medicine - Gastroenterology in Clive, IA

Q: What is Amol Agarwal's NPI number?

The NPI number for Amol Agarwal is 1043604473. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Q: What is Amol Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Amol Agarwal was last updated on March 15, 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.

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment

1378 NW 124TH ST, CLIVE, IA 50325(515) 288-6097(515) 288-8335 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Amol Agarwal Md NPPES

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

DR. AMOL AGARWAL MD (NPI 1043604473) is an individual gastroenterology provider in Clive, Iowa, licensed in Iowa (MD-48190) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2015).

NPPES Registry Identity

NPI1043604473

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. AMOL AGARWALCredential: MD

Location Address1378 NW 124TH STClive, IA 50325-8151

Mailing Address1378 Nw 124th StClive, IA 50325-8151 · (515) 288-6097 · Fax (515) 288-8335

Phone(515) 288-6097

Fax(515) 288-8335

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2015

Enumeration DateMarch 24, 2015

Last NPPES UpdateMarch 15, 2022

NPPES CertifiedMarch 15, 2022

✔ NPI 1043604473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IA · MD-48190

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1378 NW 124TH ST, Clive, IA 50325

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Amol Agarwal Md 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 ID4183943665

PECOS Enrollment IDI20210702001516

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.

Medicare Billing Reassignments

Medicare enrollment records show Amol Agarwal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iowa Digestive Disease Center P.C.

Same address

Gastroenterology

1378 NW 124TH STREET, SUITE 200
Clive, IA 50325

Reassigned Medicare billing, Iowa enrollment
37 clinicians in this Medicare group

NPI 1275571747 (515) 288-6097

Greene County Medical Center

30 mi

Rural Health

803 E MAIN ST
Panora, IA 50216

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1083654883 (Iowa)
28 clinicians in this Medicare group

NPI 1962436972 (641) 755-2121

Trinity Regional Medical Center

59 mi

End-Stage Renal Disease (ESRD) Treatment

1610 COLLINS ST, SUITE D
Webster City, IA 50595

Reassigned Medicare billing, Iowa enrollment
387 clinicians in this Medicare group

NPI 1568650174 (515) 832-1667

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

86 services83 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

79 services79 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

77 services77 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

68 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services38 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services22 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

22 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services12 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160082

Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County

Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

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 13

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

MARIA JOAN STEELE ARNP

Nurse Practitioner

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

DR. MICHAEL D OBRIEN MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

TERCIO LOPES MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

LORI L MATHIS ARNP

Nurse Practitioner

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

DR. THOMAS LYLE MARTIN DO

Internal Medicine (Gastroenterology)

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

IOWA ENDOSCOPY CENTER, INC.

Clinic/Center (Ambulatory Surgical)

1378 NW 124TH ST, SUITE 100
CLIVE, IA 50325

Polk County (515) 226-8180

DR. NAGENDRA V MYNENI MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

RAJALAKSHMI V IYER MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

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 Amol Agarwal's NPI number?

The NPI number for Amol Agarwal is 1043604473. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Amol Agarwal located?

Amol Agarwal practices at 1378 NW 124th St, Clive, IA 50325. The listed phone number is (515) 288-6097.

What is Amol Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Amol Agarwal enrolled in Medicare?

Yes. Amol 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.

Which organizations bill Medicare for Amol Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amol Agarwal reassigns Medicare benefits to 3 organizations: Iowa Digestive Disease Center P.C. (Clive, IA), Greene County Medical Center (Panora, IA) and Trinity Regional Medical Center (Webster City, IA). 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 Amol Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amol Agarwal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Amol 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.

Is Amol Agarwal affiliated with any hospitals?

According to CMS data, Amol Agarwal is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi and Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Amol Agarwal was last updated on March 15, 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.