RAJU SARWAL MD
NPI 1174627277
Ophthalmology in Brentwood, NY

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
601 SUFFOLK AVE, BRENTWOOD, NY 11717(631) 231-4455(631) 257-5097 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raju Sarwal Md NPPES

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

RAJU SARWAL MD (NPI 1174627277) is an individual ophthalmology provider in Brentwood, New York, licensed in New York (228351) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1998).

NPPES Registry Identity

NPI1174627277
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRAJU SARWALCredential: MD
Location Address601 SUFFOLK AVEBrentwood, NY 11717-4309
Mailing AddressPo Box 538Glenwood Landing, NY 11547-0538 · (631) 231-4455 · Fax (631) 257-5097
Fax(631) 257-5097
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1998
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 14, 2014
NPI 1174627277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 228351
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

601 SUFFOLK AVE, Brentwood, NY 11717

Other Identifiers 14

Other9040521NY · Cigna
Other112355523NY · Magnacare
Other2300056NY · Aetna Hmo
Other4277432NY · Aetna Ppo
Medicaid02492253NY
Other00000076253NY · Ghi Hmo
Other3C6845NY · Healthnet
Medicare UPINH61378NY
Other131077PNY · Hip
OtherP2947060NY · Oxford
Other0498469NY · Ghi Ppo
Other438B31NY · Bc/ Bs Brentwood
Other112355523NY · Mutltiplan
Other228351SNY · Healthcare Partners

Accepted 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

Raju Sarwal 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 ID7113816893
PECOS Enrollment IDI20040311000824
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 24

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,158 services897 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
1,081 services1,062 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
890 services634 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
671 services666 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
656 services652 patients
Injection, bimatoprost, intracameral implant, 1 microgram J7351
This procedure involves placing a tiny implant inside the eye, which releases a drug called bimatoprost. This drug helps to lower high pressure in the eye, typically seen in conditions like glaucoma. It's a safe and effective treatment.
610 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11717 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Anesthesiology
601 SUFFOLK AVE
BRENTWOOD, NY 11717
Ophthalmology
601 SUFFOLK AVE
BRENTWOOD, NY 11717
Optometrist
601 SUFFOLK AVE
BRENTWOOD, NY 11717
Dentist (Oral and Maxillofacial Surgery)
601 SUFFOLK AVE, SUITE 2
BRENTWOOD, NY 11717
Ophthalmology
601 SUFFOLK AVE
BRENTWOOD, NY 11717
Ophthalmology
601 SUFFOLK AVE
BRENTWOOD, NY 11717
Optometrist
601 SUFFOLK AVE
BRENTWOOD, NY 11717
Ophthalmology
601 SUFFOLK AVE
BRENTWOOD, NY 11717

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 Raju Sarwal's NPI number?

The NPI number for Raju Sarwal is 1174627277. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Raju Sarwal located?

Raju Sarwal practices at 601 Suffolk Ave, Brentwood, NY 11717. The listed phone number is (631) 231-4455.

What is Raju Sarwal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Raju Sarwal enrolled in Medicare?

Yes. Raju Sarwal 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 Raju Sarwal accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Raju Sarwal 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 Raju Sarwal was last updated on March 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.