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ANANT AGARWALLA M.D.
NPI 1326458589
Internal Medicine - Gastroenterology in Wallingford, CT

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
850 N MAIN STREET EXT, WALLINGFORD, CT 06492(203) 886-0036(203) 886-0072 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2023, Dec 15, 2020, Jun 24, 2020 (3 updates tracked since 2020).

About Anant Agarwalla M.d. NPPES

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

ANANT AGARWALLA M.D. (NPI 1326458589) is an individual gastroenterology provider in Wallingford, Connecticut, licensed in Connecticut (70508) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2014).

NPPES Registry Identity

NPI1326458589
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANANT AGARWALLACredential: M.D.
Location Address850 N MAIN STREET EXTWallingford, CT 06492-2400
Mailing Address30 Waterchase DrRocky Hill, CT 06067-2110 · (860) 257-4131 · Fax (860) 457-4519
Phone(203) 886-0036
Fax(203) 886-0072
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2014
Enumeration DateApril 28, 2014
Last NPPES UpdateJune 5, 20233 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1326458589 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 CT · 70508
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.

850 N MAIN STREET EXT, Wallingford, CT 06492
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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

Anant Agarwalla 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 ID5092012088
PECOS Enrollment IDI20220531000534
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 7

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.
137 services101 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
56 services55 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.
55 services53 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
43 services42 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.
29 services29 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

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.

ANATOLY BRAYLOVSKY MD
Internal Medicine
850 N MAIN STREET EXT, BUILDING 2 SUITE 1B
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 269-4200
HENRY BEAR HOFBAUER M.D.
Internal Medicine
850 N MAIN STREET EXT, BUILDING 2, SUITE C3
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-6522
CONNECTICUT PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
850 N MAIN STREET EXT, BLDG 1, SUITE 3B
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3790
DR. ALINA RODRIGUEZ-CORREA D.C.
Chiropractor
850 N MAIN STREET EXT, BUILDIING #2 SUITE3A
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 627-1828
DR. PEI FANG SUN MD
Internal Medicine
850 N MAIN STREET EXT, BUILDING1,A3
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 269-4353
CRYSTAL FASANO BOYARSKY FNP
Nurse Practitioner
850 N MAIN STREET EXT
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 804-1888
REZA MOIEN MD INTERNAL MEDICINE LLC
Internal Medicine
850 N MAIN STREET EXT, BUILDING#1, SUITE D2
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-0298
DR. ADAM P CRAIG N.D.
Naturopath
850 N MAIN STREET EXT, BLDG 2 SUITE 3B
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 980-4161

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 Anant Agarwalla's NPI number?

The NPI number for Anant Agarwalla is 1326458589. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Anant Agarwalla located?

Anant Agarwalla practices at 850 N Main Street Ext, Wallingford, CT 06492. The listed phone number is (203) 886-0036.

What is Anant Agarwalla's specialty?

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

Is Anant Agarwalla enrolled in Medicare?

Yes. Anant Agarwalla 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.

When was this NPI record last updated?

The NPPES record for Anant Agarwalla was last updated on June 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.