DR. SUDHIR K AGARWAL MD
NPI 1215006275
Internal Medicine - Gastroenterology in Succasunna, NJ

Q: What is Sudhir Agarwal's NPI number?

The NPI number for Sudhir Agarwal is 1215006275. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Sudhir 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 Sudhir Agarwal was last updated on July 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 06, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

15 COMMERCE BLVD, 202, SUCCASUNNA, NJ 07876(973) 252-5480(973) 252-5481 Get Directions Write a Review

NPPES record last updated: July 17, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sudhir K Agarwal Md NPPES

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

DR. SUDHIR K AGARWAL MD (NPI 1215006275) is an individual gastroenterology provider in Succasunna, New Jersey, licensed in New Jersey (MA 54139) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1215006275

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SUDHIR K AGARWALCredential: MD

Location Address15 COMMERCE BLVD, 202Succasunna, NJ 07876-1343

Mailing Address15 Commerce Blvd, Suite 202Succasunna, NJ 07876-1343 · (973) 252-5480 · Fax (973) 252-5481

Phone(973) 252-5480

Fax(973) 252-5481

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateNovember 6, 2006

Last NPPES UpdateJuly 17, 2011

✔ NPI 1215006275 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 NJ · MA 54139

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.

15 COMMERCE BLVD, Succasunna, NJ 07876

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Other Identifiers 9

Other0508326001NJ · Amerihealth

Medicaid0642606NJ

Other0467768NJ · Aetna Us Healthcare

Other467768NJ · United Health Care

Medicare PIN674959T1ENJ

Other0532042007NJ · Cigna Healthcare

OtherQS013NJ · Oxford

Other2400333NJ · Ghi

Medicare UPINF15322NJ

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

Dr. Sudhir K 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 ID9537116744

PECOS Enrollment IDI20050331000104

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

Medicare enrollment records show Sudhir Agarwal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern N.J. Endoscopy Center, L.L.C.

14 mi

Ambulatory Surgical

18 CHURCH ST
Newton, NJ 07860

Reassigned Medicare billing, New Jersey enrollment
3 clinicians in this Medicare group

NPI 1003116823 (973) 579-1775

Advocare, LLC

70 mi

Pediatrics

401 ROUTE 73 N STE 320
Marlton, NJ 08053

Reassigned Medicare billing, New Jersey enrollment
909 clinicians in this Medicare group

NPI 1770538696 (856) 872-7055

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 12

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 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.

532 services379 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

221 services220 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.

144 services142 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.

93 services93 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.

88 services88 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.

77 services71 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.

59 services59 patients

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.

45 services29 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.

30 services30 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310028

Location175 High StNewton, NJ 07860 · Sussex County

Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310115

Location651 Willow Grove StHackettstown, NJ 07840 · Warren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07876 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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.

75/100

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

Scored as part of a group practice

Other Providers at the Same Location NPPES 5

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

COMFORT DENTAL GROUP, LLC

Dentist (General Practice)

15 COMMERCE BLVD, SUITE 201-B
SUCCASUNNA, NJ 07876

Morris County (862) 219-5625

ADVOCARE, LLC

Internal Medicine (Gastroenterology)

15 COMMERCE BLVD, SUITE 202
SUCCASUNNA, NJ 07876

Morris County (973) 252-5480

SUDHIR K. AGARWAL, MD

Internal Medicine (Gastroenterology)

15 COMMERCE BLVD, SUITE 202
SUCCASUNNA, NJ 07876

Morris County (973) 252-5480

MORRIS COUNTY DENTAL ASSOCIATES, LLC

Dentist (General Practice)

15 COMMERCE BLVD, SUITE 201
SUCCASUNNA, NJ 07876

Morris County (973) 328-1225

DR. IRA GOLDBERG DDS

Dentist

15 COMMERCE BLVD, SUITE 201
SUCCASUNNA, NJ 07876

Morris County (973) 328-1225

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 Sudhir Agarwal's NPI number?

The NPI number for Sudhir Agarwal is 1215006275. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Sudhir Agarwal located?

Sudhir Agarwal practices at 15 Commerce Blvd 202, Succasunna, NJ 07876. The listed phone number is (973) 252-5480.

What is Sudhir Agarwal's specialty?

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

Is Sudhir Agarwal enrolled in Medicare?

Yes. Sudhir 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 Sudhir Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudhir Agarwal reassigns Medicare benefits to 2 organizations: Northern N.J. Endoscopy Center, L.L.C. (Newton, NJ) and Advocare, LLC (Marlton, NJ). 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 Sudhir Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sudhir Agarwal affiliated with any hospitals?

According to CMS data, Sudhir Agarwal is affiliated with Morristown Medical Center, Newton Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Sudhir Agarwal was last updated on July 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.