SHELLY AGARWAL MD
NPI 1225284078
Obstetrics & Gynecology in Palos Heights, IL

Q: What is Shelly Agarwal's NPI number?

The NPI number for Shelly Agarwal is 1225284078. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Q: What is Shelly Agarwal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Agarwal was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 12, 2008PECOS EnrolledAccepts Medicare Assignment

12251 S 80TH AVE, PALOS HEIGHTS, IL 60463(708) 923-4000(708) 923-4816 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Aug 14, 2023 (2 updates tracked since 2023).

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About Shelly Agarwal Md NPPES

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

SHELLY AGARWAL MD (NPI 1225284078) is an individual obstetrics & gynecology provider in Palos Heights, Illinois, licensed in Illinois (036127769) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Saint Louis University School Of Medicine (2008).

NPPES Registry Identity

NPI1225284078

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSHELLY AGARWALCredential: MD

Location Address12251 S 80TH AVEPalos Heights, IL 60463-1290

Mailing Address12251 S 80th AvePalos Heights, IL 60463-1290 · (708) 923-4000 · Fax (708) 923-4816

Phone(708) 923-4000

Fax(708) 923-4816

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2008

Enumeration DateAugust 12, 2008

Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1225284078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036127769✔ Licensed in IA · MD-53756

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X · License 125054706 (IL)

12251 S 80TH AVE, Palos Heights, IL 60463

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Secondary Practice Locations 2

Location 11111 6th AveDes Moines, IA 50314-2613 · Phone (515) 247-4240

Location 2676 N Saint Clair St Ste 1800Chicago, IL 60611-2960 · Phone (312) 573-3700 · Fax (312) 573-3705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Shelly 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 ID5092963074

PECOS Enrollment IDI20120917000516

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 Shelly Agarwal reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obhg Illinois Sc

11 mi

Obstetrics & Gynecology

3249 OAK PARK AVE
Berwyn, IL 60402

Reassigned Medicare billing, Illinois enrollment
219 clinicians in this Medicare group

NPI 1700107216 (800) 967-2289

Central Dupage Physician Group

18 mi

Family Medicine

5777 DEPARTMENT
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
1,664 clinicians in this Medicare group

NPI 1033149844 (630) 933-3300

Northwestern Medical Faculty Foundation

35 mi

Multi-Specialty

DEPT 5777
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
4,817 clinicians in this Medicare group

NPI 1346235314 (855) 694-2866

Carle Health Medical Group

109 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Grinnell Regional Medical Center

247 mi

Family Medicine

401 1ST AVE
Toledo, IA 52342

Reassigned Medicare billing, Iowa enrollment
177 clinicians in this Medicare group

NPI 1023498573 (641) 484-2602

Mercy Clinics Inc

281 mi

Primary Care

19 E HOWARD ST
Colfax, IA 50054

Reassigned Medicare billing, Iowa enrollment
516 clinicians in this Medicare group

NPI 1831110816 (515) 674-4682

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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.

MATTHEW SCOTT KOMINSKY MD

Anesthesiology

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4000

NOOR BADER APRN, CRNA

Nurse Anesthetist, Certified Registered

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-3936

DR. JOSEPH C BREMER JR. M.D.

Emergency Medicine

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5800

MARIKAY T GAZDA LCSW

Social Worker (Clinical)

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4941

MICHAEL J BAUTISTA M.D.

Anesthesiology

12251 S 80TH AVE, PALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5700

VALERIE SAFFAR APRN, CNP

Nurse Practitioner

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5869

WINSTON DANG MD

Hospitalist

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4000

EMILY MACKANIN PT

Physical Therapist

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-3368

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 Shelly Agarwal's NPI number?

The NPI number for Shelly Agarwal is 1225284078. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Where is Shelly Agarwal located?

Shelly Agarwal practices at 12251 S 80th Ave, Palos Heights, IL 60463. The listed phone number is (708) 923-4000.

What is Shelly Agarwal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shelly Agarwal enrolled in Medicare?

Yes. Shelly 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 Shelly Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Agarwal reassigns Medicare benefits to 6 organizations: Obhg Illinois Sc (Berwyn, IL), Central Dupage Physician Group (Carol Stream, IL), Northwestern Medical Faculty Foundation (Carol Stream, IL), Carle Health Medical Group (Urbana, IL), Grinnell Regional Medical Center (Toledo, IA) and 1 more organization, listed in the Medicare section above. 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 Shelly Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Agarwal accept?

Health plans from Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Shelly 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.

When was this NPI record last updated?

The NPPES record for Shelly Agarwal was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.