DR. RISHI KUMAR AGARWAL M.D.
NPI 1164625257
Internal Medicine - Gastroenterology in Birmingham, AL

Q: What is Rishi Agarwal's NPI number?

The NPI number for Rishi Agarwal is 1164625257. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Q: What is Rishi 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 Rishi Agarwal was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 07, 2007PECOS EnrolledAccepts Medicare Assignment

75.17/100

CMS Quality Rating

1 INDEPENDENCE PLZ, SUITE 900, BIRMINGHAM, AL 35209(205) 271-8000(205) 271-8050 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Rishi Kumar Agarwal M.d. NPPES

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

DR. RISHI KUMAR AGARWAL M.D. (NPI 1164625257) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (29343) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2007).

NPPES Registry Identity

NPI1164625257

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. RISHI KUMAR AGARWALCredential: M.D.

Location Address1 INDEPENDENCE PLZ, SUITE 900Birmingham, AL 35209-2629

Mailing Address1 Independence Plz, Suite 900Birmingham, AL 35209-2629 · (205) 271-8000 · Fax (205) 271-8050

Phone(205) 271-8000

Fax(205) 271-8050

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2007

Enumeration DateJune 7, 2007

Last NPPES UpdateDecember 9, 2015

✔ NPI 1164625257 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 AL · 29343

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.

1 INDEPENDENCE PLZ, Birmingham, AL 35209

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Other Identifiers 2

Medicare OSCAR/certification102I100102AL

Medicare PINI089AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Dr. Rishi Kumar Agarwal M.d. 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 ID6901081678

PECOS Enrollment IDI20130625000820

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 14

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

1,239 services102 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

725 services102 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

167 services19 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

154 services19 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.

142 services133 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.

100 services97 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.

93 services92 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.

51 services43 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

36 services35 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.

30 services29 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

28 services25 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

18 services17 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.

17 services17 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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.

75.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.87

Promoting Interoperability

Improvement Activities

Cost

54.19

Reported Quality Measures

Photodocumentation of Cecal Intubation

The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination

57%177 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MS. KAY PARKER-PHILLIPS MSN, CRNP

Nurse Practitioner

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

STEVIE BYRAM STEWART PA

Physician Assistant

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

DR. RAJAT N PARIKH M.D.

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

WESTFALL PSYCHIATRIC SERVICES PC

Psychiatry & Neurology (Psychiatry)

1 INDEPENDENCE PLZ, SUITE 325
HOMEWOOD, AL 35209

Jefferson County (205) 623-2171

NORWOOD CLINIC, INC

Durable Medical Equipment & Medical Supplies

1 INDEPENDENCE PLZ, SUITE 700
BIRMINGHAM, AL 35209

Jefferson County (205) 250-6000

DR. LARRY HOUSTON DENNIS PH.D.

Psychologist (Clinical)

1 INDEPENDENCE PLZ, SUITE 716
HOMEWOOD, AL 35209

Jefferson County (205) 871-0031

WILLARD ROGER CARLISLE MD

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

CHARLES SHERMAN BLUHM MD

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLZ, STE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

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 Rishi Agarwal's NPI number?

The NPI number for Rishi Agarwal is 1164625257. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Rishi Agarwal located?

Rishi Agarwal practices at 1 Independence Plz Suite 900, Birmingham, AL 35209. The listed phone number is (205) 271-8000.

What is Rishi Agarwal's specialty?

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

Is Rishi Agarwal enrolled in Medicare?

Yes. Rishi 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 Rishi Agarwal accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Rishi 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 Rishi Agarwal was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.