DR. MALAY AGRAWAL M.D.
NPI 1376530881
Internal Medicine - Cardiovascular Disease in Wilson, NC

Q: What is Malay Agrawal's NPI number?

The NPI number for Malay Agrawal is 1376530881. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Q: What is Malay Agrawal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Malay Agrawal was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment

2605 FOREST HILLS RD SW, SUITE D, WILSON, NC 27893(252) 243-7161(252) 243-7242 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Malay Agrawal M.d. NPPES

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

DR. MALAY AGRAWAL M.D. (NPI 1376530881) is an individual cardiovascular disease provider in Wilson, North Carolina, licensed in North Carolina (200000168) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Northwestern University Feinberg Medical School (1996).

NPPES Registry Identity

NPI1376530881

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. MALAY AGRAWALCredential: M.D.

Location Address2605 FOREST HILLS RD SW, SUITE DWilson, NC 27893-4448

Mailing AddressPo Box 3209Wilson, NC 27895-3209 · (252) 243-7161 · Fax (252) 243-7242

Phone(252) 243-7161

Fax(252) 243-7242

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1996

Enumeration DateSeptember 29, 2005

Last NPPES UpdateApril 7, 2021

NPPES CertifiedApril 7, 2021

✔ NPI 1376530881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NC · 200000168

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2605 FOREST HILLS RD SW, Wilson, NC 27893

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Other Identifiers 3

Medicaid89126R1NC

OtherP00132351Railroad Medicare

Other0190ENC · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Malay Agrawal 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 ID1557346947

PECOS Enrollment IDI20040621000815

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 20

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.

340 services235 patients

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.

174 services68 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

134 services132 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

101 services51 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

85 services41 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

82 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

82 services68 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

81 services71 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

78 services29 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.

49 services48 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.

34 services34 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

28 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

25 services13 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

22 services12 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

20 services11 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services17 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.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

13 services12 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340126

Location1705 S Tarboro StWilson, NC 27893 · Wilson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606

DME-Other DME · category DE013N

1 supplier15 claims15 services$2,307.01 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 11

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

LINDA OSMENT LATHAN FNP

Nurse Practitioner (Family)

2605 FOREST HILLS RD SW
WILSON, NC 27893

Wilson County (252) 243-7161

DR. SANJAY CHERUKURI SANJAY CHERUKURI

Internal Medicine (Interventional Cardiology)

2605 FOREST HILLS RD SW
WILSON, NC 27893

Wilson County (252) 243-7161

WILSON MEDICAL CENTER, INC.

Internal Medicine (Gastroenterology)

2605 FOREST HILLS RD SW
WILSON, NC 27893

Wilson County (252) 243-7977

DR. SUNIL K PRAKASH CHAND M.D

Internal Medicine (Cardiovascular Disease)

2605 FOREST HILLS RD SW, SUITE D
WILSON, NC 27893

Wilson County (252) 243-7161

BRITTANY WOOTEN FULGHUM AGNP

Nurse Practitioner

2605 FOREST HILLS RD SW
WILSON, NC 27893

Wilson County (252) 243-7977

WILSON GASTROENTEROLOGY PA

Specialist

2605 FOREST HILLS RD SW
WILSON, NC 27893

Wilson County (252) 243-7977

JAMES ALLEN WHITAKER M.D.

Internal Medicine (Cardiovascular Disease)

2605 FOREST HILLS RD SW
WILSON, NC 27893

Wilson County (252) 243-7161

WILSON CARDIOLOGY ASSOCIATES, PA

Specialist

2605 FOREST HILLS RD SW
WILSON, NC 27893

Wilson County (252) 243-7161

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 Malay Agrawal's NPI number?

The NPI number for Malay Agrawal is 1376530881. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Malay Agrawal located?

Malay Agrawal practices at 2605 Forest Hills Rd SW Suite D, Wilson, NC 27893. The listed phone number is (252) 243-7161.

What is Malay Agrawal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Malay Agrawal enrolled in Medicare?

Yes. Malay 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.

What insurance does Malay Agrawal accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Malay 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 Malay Agrawal affiliated with any hospitals?

According to CMS data, Malay Agrawal is affiliated with Rex Hospital and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Malay Agrawal was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.