NEERAJ AGRAWAL M.D.
NPI 1235495292
Internal Medicine in Houston, TX

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
3550 SWINGLE RD, HOUSTON, TX 77047(713) 547-1067 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2021, Aug 17, 2017 (2 updates tracked since 2017).

About Neeraj Agrawal M.d. NPPES

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

NEERAJ AGRAWAL M.D. (NPI 1235495292) is an individual internal medicine provider in Houston, Texas, licensed in Texas (P8439) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Baylor College Of Medicine (2012).

NPPES Registry Identity

NPI1235495292
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEERAJ AGRAWALCredential: M.D.
Location Address3550 SWINGLE RDHouston, TX 77047-3763
Mailing Address2 Greenway Plz, Ste 900Houston, TX 77046-0205 · (713) 798-1750 · Fax (713) 798-4693
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2012
Enumeration DateApril 4, 2012
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1235495292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · P8439 Licensed in TX · BP10042710
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License BP10042710 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License P8439 (TX)
3550 SWINGLE RD, Houston, TX 77047

Accepted 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

Neeraj Agrawal 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 ID6800198052
PECOS Enrollment IDI20160602000359
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Texas Childrens Hosp

Childrens · Houston, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453304
Location6621 Fannin StreetHouston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77047 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Pharmacist (Ambulatory Care)
3550 SWINGLE RD
HOUSTON, TX 77047
Physician Assistant
3550 SWINGLE RD
HOUSTON, TX 77047
Dietitian, Registered
3550 SWINGLE RD
HOUSTON, TX 77047
Social Worker (Clinical)
3550 SWINGLE RD
HOUSTON, TX 77047
Family Medicine (Adult Medicine)
3550 SWINGLE RD
HOUSTON, TX 77047
Nurse Practitioner (Family)
3550 SWINGLE RD
HOUSTON, TX 77047
Nurse Practitioner (Family)
3550 SWINGLE RD
HOUSTON, TX 77047
Family Medicine
3550 SWINGLE RD
HOUSTON, TX 77047

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 Neeraj Agrawal's NPI number?

The NPI number for Neeraj Agrawal is 1235495292. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Neeraj Agrawal located?

Neeraj Agrawal practices at 3550 Swingle Rd, Houston, TX 77047. The listed phone number is (713) 547-1067.

What is Neeraj Agrawal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neeraj Agrawal enrolled in Medicare?

Yes. Neeraj Agrawal 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 Neeraj Agrawal accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Moda Health Plan, Inc., Molina Healthcare and UnitedHealthcare list Neeraj Agrawal 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 Neeraj Agrawal affiliated with any hospitals?

According to CMS data, Neeraj Agrawal is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Texas Childrens Hosp.

When was this NPI record last updated?

The NPPES record for Neeraj Agrawal was last updated on October 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.