DR. RAJESH AGARWAL M.D.
NPI 1285618579
Specialist in Mayfield Heights, OH

Active since December 01, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 36D1071255 · Waiver
95.31/100
CMS Quality Rating
6770 MAYFIELD RD, SUITE 425, MAYFIELD HEIGHTS, OH 44124(440) 312-9041(440) 882-3953 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rajesh Agarwal M.d. NPPES

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

DR. RAJESH AGARWAL M.D. (NPI 1285618579) is an individual specialist in Mayfield Heights, Ohio, licensed in Ohio (D73575) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 22, 2027, and is affiliated with Ohio State University State Health System.

NPPES Registry Identity

NPI1285618579
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RAJESH AGARWALCredential: M.D.
Location Address6770 MAYFIELD RD, SUITE 425Mayfield Heights, OH 44124-2299
Mailing Address3940 Waterford CtBeachwood, OH 44122-4743 · (440) 346-4427 · Fax (440) 882-3953
Fax(440) 882-3953
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 1, 2005
Last NPPES UpdateNovember 13, 2012
NPI 1285618579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OH · D73575
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6770 MAYFIELD RD, Mayfield Heights, OH 44124

Other Identifiers 3

Medicaid2108329OH
Medicare UPING80320OH
Medicare ID-Type UnspecifiedRA0875662OH

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

Dr. Rajesh Agarwal 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 ID3476525304
PECOS Enrollment IDI20040811001406
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1071255

Rajesh Agarwal MD LLC · Mayfield Heights, OH
Active · expires Jul 22, 2027
CLIA Number36D1071255
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorRajesh Agarwal
Laboratory Phone(216) 751-1212
Laboratory LocationRajesh Agarwal MD LLC6770 Mayfield Road, Suite 425, Mayfield Heights, OH 44124
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 37

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.
1,393 services534 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
795 services86 patients
Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427
Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.
784 services78 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
751 services343 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.
504 services414 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
491 services400 patients

Hospital Affiliations CMS Care Compare 5

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360144
Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost53.66

Referred Medical Equipment & Supplies CMS DME claims 42

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers57 claims151 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers20 claims28 services$1.00 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
4 suppliers32 claims32 services$24.26 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers19 claims218 services$2.13 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers47 claims54 services$9.36 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers16 claims27 services$6.42 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 20

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

Internal Medicine
6770 MAYFIELD RD, 425
MAYFIELD HTS, OH 44124
General Practice
6770 MAYFIELD RD, STE 205
MAYFIELD HEIGHTS, OH 44124
Pharmacist
6770 MAYFIELD RD
MAYFIELD HTS, OH 44124
General Practice
6770 MAYFIELD RD, STE 310
MAYFIELD HEIGHTS, OH 44124
Ophthalmology
6770 MAYFIELD RD, SUITE 326
MAYFIELD HTS, OH 44124
Chronic Disease Hospital
6770 MAYFIELD RD, SUITE 400
MAYFIELD HTS, OH 44124
Audiologist-Hearing Aid Fitter
6770 MAYFIELD RD, SUITE 220
MAYFIELD HTS, OH 44124
Ophthalmology
6770 MAYFIELD RD, SUITE 326
MAYFIELD HTS, OH 44124

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 Rajesh Agarwal's NPI number?

The NPI number for Rajesh Agarwal is 1285618579. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Rajesh Agarwal located?

Rajesh Agarwal practices at 6770 Mayfield Rd Suite 425, Mayfield Heights, OH 44124. The listed phone number is (440) 312-9041.

What is Rajesh Agarwal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Rajesh Agarwal enrolled in Medicare?

Yes. Rajesh 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.

Does Rajesh Agarwal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1071255) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rajesh Agarwal accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Rajesh 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 Rajesh Agarwal affiliated with any hospitals?

According to CMS data, Rajesh Agarwal is affiliated with Ohio State University State Health System, South Pointe Hospital, Cleveland Clinic, Hillcrest Hospital and Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for Rajesh Agarwal was last updated on November 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.