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AMIT AGARWAL M.D.
NPI 1215283429
Colon & Rectal Surgery in Sugar Land, TX

Active since July 25, 2012PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
17510 W GRAND PKWY S, STE 190, SUGAR LAND, TX 77479(713) 486-4742 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amit Agarwal M.d. NPPES

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

AMIT AGARWAL M.D. (NPI 1215283429) is an individual colon & rectal surgery provider in Sugar Land, Texas, licensed in Texas (Q0395) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215283429
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameAMIT AGARWALCredential: M.D.
Location Address17510 W GRAND PKWY S, STE 190Sugar Land, TX 77479-2645
Mailing Address17510 W Grand Pkwy S, Ste 190Sugar Land, TX 77479-2645 · (713) 486-4742
Phone(713) 486-4742
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 25, 2012
Last NPPES UpdateJanuary 18, 2017
✔ NPI 1215283429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TX · Q0395
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
17510 W GRAND PKWY S, Sugar Land, TX 77479
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Amit 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 ID7517250012
PECOS Enrollment IDI20160721000110
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 6

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 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.
110 services83 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.
94 services94 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
68 services58 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.
21 services21 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.
16 services13 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers21 claims600 services$4.91 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims750 services$0.21 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 20

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

DR. KALPESH HARSHAD THAKKAR MD
Pediatrics (Pediatric Gastroenterology)
17510 W GRAND PKWY S
SUGAR LAND, TX 77479
Fort Bend County (281) 725-5855
AFFINITY FAMILY MEDICINE AND WELLNESS CENTER, PA
Family Medicine
17510 W GRAND PKWY S, SUITE 380
SUGAR LAND, TX 77479
Fort Bend County (281) 238-0200
HOUSTON AREA PEDIATRIC NEUROLOGY PLLC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
17510 W GRAND PKWY S, SUITE 440
SUGAR LAND, TX 77479
Fort Bend County (832) 471-6248
DR. ROBERT MORGAN HILLERY M.D.
Surgery
17510 W GRAND PKWY S, SUITE 490
SUGAR LAND, TX 77479
Fort Bend County (713) 772-1200
MEGAN JENKINS KALAMBO M.D.
Radiology (Diagnostic Radiology)
17510 W GRAND PKWY S, SUTIE 120
SUGAR LAND, TX 77479
Fort Bend County (713) 745-4555
SURYA K BATTU M.D.
Pediatrics
17510 W GRAND PKWY S, SUITE # 340
SUGAR LAND, TX 77479
Fort Bend County (281) 342-7111
DANIELLE ANN KAESER MS, LAT, ATC, CES
Specialist/Technologist (Athletic Trainer)
17510 W GRAND PKWY S
SUGAR LAND, TX 77479
Fort Bend County (908) 421-5219
OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES
Obstetrics & Gynecology
17510 W GRAND PKWY S, SUITE 430
SUGAR LAND, TX 77479
Fort Bend County (713) 512-7000

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 Amit Agarwal's NPI number?

The NPI number for Amit Agarwal is 1215283429. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Amit Agarwal located?

Amit Agarwal practices at 17510 W Grand Pkwy S Ste 190, Sugar Land, TX 77479. The listed phone number is (713) 486-4742.

What is Amit Agarwal's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Amit Agarwal enrolled in Medicare?

Yes. Amit 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 Amit Agarwal accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Amit 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.

Is Amit Agarwal affiliated with any hospitals?

According to CMS data, Amit Agarwal is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Amit Agarwal was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.