Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Amit Agarwal's specialty?

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

Q: 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 13 days 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 April 25, 2018PECOS Enrolled

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: August 09, 2026.

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

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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

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Other Identifiers 1

Medicaid122325600FL

Accepted Insurance

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

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.

What insurance does Amit Agarwal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 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 13 days 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.