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DR. AGNEL RAJANI RAPARTHI M.D.,
NPI 1235397654
Internal Medicine - Hematology & Oncology in Oklahoma City, OK

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
5915 W MEMORIAL RD STE 200, OKLAHOMA CITY, OK 73142(405) 773-6400(405) 621-5438 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 25, 2023, May 18, 2020, Jul 20, 2017 (3 updates tracked since 2017).

About Dr. Agnel Rajani Raparthi M.d., NPPES

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

DR. AGNEL RAJANI RAPARTHI M.D., (NPI 1235397654) is an individual hematology & oncology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (26504) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Integris Health Ponca City, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1235397654
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. AGNEL RAJANI RAPARTHICredential: M.D.,
Location Address5915 W MEMORIAL RD STE 200Oklahoma City, OK 73142-2022
Mailing Address3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640 · (405) 773-6400 · Fax (405) 621-5438
Phone(405) 773-6400
Fax(405) 621-5438
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 2, 2008
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1235397654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in OK · 26504
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
5915 W MEMORIAL RD STE 200, Oklahoma City, OK 73142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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

Dr. Agnel Rajani Raparthi 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 ID2668645045
PECOS Enrollment IDI20111031000461
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 Reassignment

Medicare enrollment records show Agnel Raparthi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integris Ambulatory Care Corporation
3.0 mi
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
NPI 1750333936 (405) 951-2298

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 8

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.
390 services139 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.
81 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
79 services49 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.
62 services62 patients
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.
48 services40 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.
48 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Integris Health Ponca City

Acute Care Hospitals · Ponca City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370006
Location1900 North 14th StreetPonca City, OK 74601 · Kay County
Emergency services

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370016
Location600 South MonroeEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73142 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers31 claims31 services$16.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$86.24 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 2

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

KIM DE LOS ANGELES PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5915 W MEMORIAL RD STE 200
OKLAHOMA CITY, OK 73142
Oklahoma County (405) 773-2391
DR. JANAE MICHELLE CLAPP M.D.
Internal Medicine (Hematology & Oncology)
5915 W MEMORIAL RD STE 200
OKLAHOMA CITY, OK 73142
Oklahoma County (405) 773-6400

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 Agnel Raparthi's NPI number?

The NPI number for Agnel Raparthi is 1235397654. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Agnel Raparthi located?

Agnel Raparthi practices at 5915 W Memorial Rd Ste 200, Oklahoma City, OK 73142. The listed phone number is (405) 773-6400.

What is Agnel Raparthi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Agnel Raparthi enrolled in Medicare?

Yes. Agnel Raparthi 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 organization bills Medicare for Agnel Raparthi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agnel Raparthi reassigns Medicare benefits to Integris Ambulatory Care Corporation (Oklahoma City, OK). The 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 Agnel Raparthi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Agnel Raparthi accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Agnel Raparthi 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 Agnel Raparthi affiliated with any hospitals?

According to CMS data, Agnel Raparthi is affiliated with Integris Health Ponca City, Integris Bass Baptist Health Center, Integris Baptist Medical Center, Inc, Integris Southwest Medical Center and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Agnel Raparthi was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.