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DR. NEHA AGRAWAL MD
NPI 1366758187
Internal Medicine - Hepatology in Jacksonville, FL

Active since August 31, 2010PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
5191 FIRST COAST TECH PKWY FL 2, JACKSONVILLE, FL 32224(904) 427-7275 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2018, Apr 17, 2018, Jul 5, 2017 (3 updates tracked since 2017).

About Dr. Neha Agrawal Md NPPES

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

DR. NEHA AGRAWAL MD (NPI 1366758187) is an individual hepatology provider in Jacksonville, Florida, licensed in Florida (ME141621) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1366758187
Entity TypeIndividualFemale
Primary Taxonomy207RI0008X
Provider Legal NameDR. NEHA AGRAWALCredential: MD
Location Address5191 FIRST COAST TECH PKWY FL 2Jacksonville, FL 32224-0609
Mailing Address5191 First Coast Tech Pkwy Fl 2Jacksonville, FL 32224-0609 · (904) 427-7275
Phone(904) 427-7275
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 31, 2010
Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1366758187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License✔ Licensed in FL · ME141621
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License ME141621 (FL)
5191 FIRST COAST TECH PKWY FL 2, Jacksonville, FL 32224
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neha Agrawal 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 ID7517109853
PECOS Enrollment IDI20190910001184
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 Reassignment

Medicare enrollment records show Neha Agrawal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc
12 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660

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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services56 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.
43 services38 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
28 services28 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.
15 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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 Neha Agrawal's NPI number?

The NPI number for Neha Agrawal is 1366758187. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Neha Agrawal located?

Neha Agrawal practices at 5191 First Coast Tech Pkwy Fl 2, Jacksonville, FL 32224. The listed phone number is (904) 427-7275.

What is Neha Agrawal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Neha Agrawal enrolled in Medicare?

Yes. Neha 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.

Which organization bills Medicare for Neha Agrawal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neha Agrawal reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). The 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 Neha Agrawal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neha Agrawal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Neha 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 Neha Agrawal affiliated with any hospitals?

According to CMS data, Neha Agrawal is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Neha Agrawal was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.