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AKASH AGARWAL M.D.
NPI 1376830711
Hospitalist in Rochester, NY

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVENUE, ROCHESTER, NY 14621(585) 922-5067(585) 922-1399 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2021, Nov 20, 2018 (2 updates tracked since 2018).

About Akash Agarwal M.d. NPPES

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

AKASH AGARWAL M.D. (NPI 1376830711) is an individual hospitalist provider in Rochester, New York, licensed in New York (276521) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376830711
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameAKASH AGARWALCredential: M.D.
Location Address1425 PORTLAND AVENUERochester, NY 14621-3001
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Phone(585) 922-5067
Fax(585) 922-1399
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 6, 2011
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1376830711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 276521
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 276521 (NY)
1425 PORTLAND AVENUE, Rochester, NY 14621
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11200 Driving Park AveNewark, NY 14513-1090 · Phone (315) 359-2847 · Fax (315) 359-2806
Location 22 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-1472 · Fax (315) 462-2639

Other Identifiers 3

Medicaid03951273NY
Medicaid01131126/RGHNY
Medicaid03001654/NWKNY

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

Akash 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 ID2668690306
PECOS Enrollment IDI20140821002213
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 Reassignments

2

Medicare enrollment records show Akash Agarwal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
0.1 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
Newark Wayne Community Hospital
26 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022

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 4

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.
119 services57 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.
52 services37 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.
36 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$14.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$67.66 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.

MR. JEFFREY CALEB HAYNES MD
Radiology (Radiation Oncology)
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4031
MS. MATHANGI MURALI M.B.B.S.
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4829
SHAZIA JANMUHAMMAD MD
Family Medicine
1425 PORTLAND AVENUE, WILSON BUILDING
ROCHESTER, NY 14621
Monroe County (585) 254-1850
MUHAMMAD UMER MUKHTAR MD
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ROCHESTER GENERAL HOSPITAL
General Acute Care Hospital
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-1738
DESIREE FRANCESCHI
Hospitalist
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4829
JOHN SHRESTHA
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
MR. SURAJ SHRESTHA M.B.B.S.
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4829

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 Akash Agarwal's NPI number?

The NPI number for Akash Agarwal is 1376830711. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Akash Agarwal located?

Akash Agarwal practices at 1425 Portland Avenue, Rochester, NY 14621. The listed phone number is (585) 922-5067.

What is Akash Agarwal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Akash Agarwal enrolled in Medicare?

Yes. Akash 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.

Which organizations bill Medicare for Akash Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akash Agarwal reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and Newark Wayne Community Hospital (Newark, NY). Each 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 Akash Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Akash Agarwal affiliated with any hospitals?

According to CMS data, Akash Agarwal is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Akash Agarwal was last updated on April 15, 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.