DR. MONICA PRIYANKA AGRAWAL MD
NPI 1184852642
Family Medicine in Houston, TX

Active since June 23, 2009PECOS EnrolledAccepts Medicare Assignment
2405 S GESSNER RD, SUITE B, HOUSTON, TX 77063(713) 266-7673 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Monica Priyanka Agrawal Md NPPES

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

DR. MONICA PRIYANKA AGRAWAL MD (NPI 1184852642) is an individual family medicine provider in Houston, Texas, licensed in Texas (P1257) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2009).

NPPES Registry Identity

NPI1184852642
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MONICA PRIYANKA AGRAWALCredential: MD
Location Address2405 S GESSNER RD, SUITE BHouston, TX 77063-2000
Mailing Address2405 S Gessner Rd, Suite BHouston, TX 77063-2000 · (713) 266-7673
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2009
Enumeration DateJune 23, 2009
Last NPPES UpdateNovember 14, 2012
NPI 1184852642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · P1257
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2405 S GESSNER RD, Houston, TX 77063

Other Identifiers 2

Medicare PINTXB161138TX
Medicaid302750001TX

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

Dr. Monica Priyanka Agrawal 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 ID42467706
PECOS Enrollment IDI20120831000167
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 5

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
194 services54 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
63 services35 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
47 services42 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
37 services37 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77063 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$4.58 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$30.81 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers22 claims22 services$8.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
2405 S GESSNER RD, SUITE B
HOUSTON, TX 77063
Family Medicine
2405 S GESSNER RD, SUITE B
HOUSTON, TX 77063
Family Medicine
2405 S GESSNER RD, SUITE B
HOUSTON, TX 77063
Family Medicine
2405 S GESSNER RD, SUITE B
HOUSTON, TX 77063
Family Medicine
2405 S GESSNER RD, SUITE B
HOUSTON, TX 77063
Family Medicine
2405 S GESSNER RD, SUITE B
HOUSTON, TX 77063
Family Medicine
2405 S GESSNER RD, SUITE B
HOUSTON, TX 77063
Family Medicine
2405 S GESSNER RD, SUITE B
HOUSTON, TX 77063

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 Monica Agrawal's NPI number?

The NPI number for Monica Agrawal is 1184852642. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Monica Agrawal located?

Monica Agrawal practices at 2405 S Gessner Rd Suite B, Houston, TX 77063. The listed phone number is (713) 266-7673.

What is Monica Agrawal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monica Agrawal enrolled in Medicare?

Yes. Monica Agrawal 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 Monica Agrawal accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company, UnitedHealthcare and WellPoint list Monica Agrawal 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 Monica Agrawal was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.