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AMIT KUMAR AGARWAL MD
NPI 1275021230
Internal Medicine - Gastroenterology in St Augustine, FL

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment
475 W TOWN PL STE 109, ST AUGUSTINE, FL 32092(904) 398-7205 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2026, Jul 18, 2024, May 24, 2018 and 1 more (4 updates tracked since 2018).

About Amit Kumar Agarwal Md NPPES

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

AMIT KUMAR AGARWAL MD (NPI 1275021230) is an individual gastroenterology provider in St Augustine, Florida, licensed in Florida (ME166874) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275021230
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameAMIT KUMAR AGARWALCredential: MD
Location Address475 W TOWN PL STE 109St Augustine, FL 32092-3648
Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-7205
Phone(904) 398-7205
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2018
Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1275021230 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 FL · ME166874
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.
475 W TOWN PL STE 109, St Augustine, FL 32092
Open in Google Maps ↗

Other Identifiers 1

Medicaid122325600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter from Superior HealthPlan, Ambetter Health and more.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

Amit Kumar 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 ID840545661
PECOS Enrollment IDI20240520001367
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

2

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

Borland Groover Clinic, PA
20 mi
Gastroenterology
4800 BELFORT RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 121 clinicians in this Medicare group
NPI 1881644912 (904) 398-7205
South Florida Surgical Specialists LLC
266 mi
Surgery
3001 CORAL HILLS DR, SUITE 320
Coral Springs, FL 33065
  • Reassigned Medicare billing, Florida enrollment
  • 111 clinicians in this Medicare group
NPI 1952409963 (954) 755-0111

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 5

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 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.
169 services96 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.
107 services106 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.
16 services16 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.
16 services14 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.
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.

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Broward Health North

Acute Care Hospitals · Pompano Beach, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100086
Location201 E Sample RdPompano Beach, FL 33064 · Broward County
Emergency services

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32092 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

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

MATTHEW ALEXANDER HECKROTH MD
Internal Medicine (Gastroenterology)
475 W TOWN PL STE 109
ST AUGUSTINE, FL 32092
St. Johns County (904) 398-7205

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 1275021230. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Amit Agarwal located?

Amit Agarwal practices at 475 W Town Pl Ste 109, St Augustine, FL 32092. The listed phone number is (904) 398-7205.

What is Amit Agarwal's specialty?

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

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.

Which organizations bill Medicare for Amit Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amit Agarwal reassigns Medicare benefits to 2 organizations: Borland Groover Clinic, PA (Jacksonville, FL) and South Florida Surgical Specialists LLC (Coral Springs, FL). 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 Amit Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amit Agarwal accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed and 8 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 Bethesda Hospital Inc, Broward Health North and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Amit Agarwal was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.