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AVINESH AGARWALLA MD
NPI 1194288282
Orthopaedic Surgery - Foot and Ankle Surgery in Schaumburg, IL

Active since April 07, 2019PECOS EnrolledAccepts Medicare Assignment
929 W HIGGINS RD, SCHAUMBURG, IL 60195(847) 285-4200(847) 885-0130 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2026, Jul 22, 2024, Apr 7, 2019 (3 updates tracked since 2019).

About Avinesh Agarwalla Md NPPES

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

AVINESH AGARWALLA MD (NPI 1194288282) is an individual foot and ankle surgery provider in Schaumburg, Illinois, licensed in Illinois (036179251) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1194288282
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameAVINESH AGARWALLACredential: MD
Location Address929 W HIGGINS RDSchaumburg, IL 60195-3203
Mailing Address929 W Higgins RdSchaumburg, IL 60195-3203
Phone(847) 285-4200
Fax(847) 885-0130
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 7, 2019
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1194288282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in IL · 036179251
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036179251 (IL), A194041 (CA)
929 W HIGGINS RD, Schaumburg, IL 60195
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Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 724-9338

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Avinesh Agarwalla 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 ID2668919473
PECOS Enrollment IDI20250507002195
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 Avinesh Agarwalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthomidwest, PLLC
49 mi
Orthopaedic Surgery
324 ROXBURY RD
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 562 clinicians in this Medicare group
NPI 1730136474 (815) 398-9491
Massachusetts General Physicians Organization Inc
873 mi
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287
The General Hospital Corporation
873 mi
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000

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

Hospital Affiliations CMS Care Compare 3

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

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.

DR. RICHARD S RABINOWITZ MD
Orthopaedic Surgery
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Cook County (847) 285-4200
MRS. ALEXANDRA S MAREK PTA
Physical Therapy Assistant
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Cook County (847) 285-4200
MR. CHRISTOPHER A CARLSON PT
Physical Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Cook County (847) 285-4200
RIVKAH HERSHKOVICH OT
Occupational Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Cook County (847) 285-4200
JESSICA MARKS PTA
Physical Therapy Assistant
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Cook County (847) 285-4200
HANCI ZHANG MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Cook County (847) 285-4200
AMY MUELLER ATC
Specialist/Technologist (Athletic Trainer)
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Cook County (847) 285-4200
GERALD EDESON PUNZAL VALLO OT
Occupational Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Cook County (847) 285-4200

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 Avinesh Agarwalla's NPI number?

The NPI number for Avinesh Agarwalla is 1194288282. It was assigned to this individual provider in the NPPES registry on April 7, 2019.

Where is Avinesh Agarwalla located?

Avinesh Agarwalla practices at 929 W Higgins Rd, Schaumburg, IL 60195. The listed phone number is (847) 285-4200.

What is Avinesh Agarwalla's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Avinesh Agarwalla enrolled in Medicare?

Yes. Avinesh Agarwalla 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 Avinesh Agarwalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avinesh Agarwalla reassigns Medicare benefits to 3 organizations: Orthomidwest, PLLC (Rockford, IL), Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Avinesh Agarwalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avinesh Agarwalla accept?

Health plans from Anthem Blue Cross and Blue Shield list Avinesh Agarwalla 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 Avinesh Agarwalla affiliated with any hospitals?

According to CMS data, Avinesh Agarwalla is affiliated with North Shore Medical Center -, Massachusetts General Hospital and Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Avinesh Agarwalla was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.