ANIKA AJAYKUMAR AGARWAL MD
NPI 1073961298
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4201 ST. ANTOINE UHC STE 2E, DETROIT MEDICAL CENTER/WAYNE STATE UNIVERSITY, DETROIT, MI 48201(313) 745-4832 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Jun 7, 2023, Nov 29, 2017 (3 updates tracked since 2017).

About Anika Ajaykumar Agarwal Md NPPES

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

ANIKA AJAYKUMAR AGARWAL MD (NPI 1073961298) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1073961298
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANIKA AJAYKUMAR AGARWALCredential: MD
Location Address4201 ST. ANTOINE UHC STE 2E, DETROIT MEDICAL CENTER/WAYNE STATE UNIVERSITYDetroit, MI 48201
Mailing Address4201 St. Antoine Uhc Ste 2e, Detroit Medical Center/wayne State UniversityDetroit, MI 48201 · (313) 745-4832
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2016
Last NPPES UpdateNovember 29, 20173 updates tracked since enumeration
✔ NPI 1073961298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 ST. ANTOINE UHC STE 2E, Detroit, MI 48201

Secondary Practice Location 1

Location 14201 St. Antoine UHC Ste 2E, Detroit Medical Center/Wayne State UniversityDetroit, MI 48201 · Phone (313) 745-4832

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

Anika Ajaykumar 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 ID9830526896
PECOS Enrollment IDI20250303000233
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

3

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

Hospitalist
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group
Hospitalist
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
Internal Medicine
889 ELBA HWY
Troy, AL 36079
  • Reassigned Medicare billing, Alabama enrollment
  • 514 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.

Areas of Expertise CMS Part B claims 3

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.

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.
464 services131 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
79 services78 patients
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.
70 services70 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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 Anika Agarwal's NPI number?

The NPI number for Anika Agarwal is 1073961298. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Anika Agarwal located?

Anika Agarwal practices at 4201 St. Antoine Uhc Ste 2E Detroit Medical Center/Wayne State University, Detroit, MI 48201. The listed phone number is (313) 745-4832.

What is Anika Agarwal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anika Agarwal enrolled in Medicare?

Yes. Anika 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 Anika Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anika Agarwal reassigns Medicare benefits to 3 organizations: Benning Hospitalist Services, LLC (Columbus, GA), Muscogee Hospitalist Services, LLC (Columbus, GA) and Houston County Healthcare Authority (Troy, AL). 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 Anika Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anika Agarwal accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Anika 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 Anika Agarwal affiliated with any hospitals?

According to CMS data, Anika Agarwal is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Anika Agarwal was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.