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PRACHI AGARWAL MD
NPI 1386296341
Pediatrics in Scranton, PA

Active since July 10, 2019PECOS Enrolled
501 S WASHINGTON AVE, SCRANTON, PA 18505(570) 591-5264(570) 591-5209 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prachi Agarwal Md NPPES

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

PRACHI AGARWAL MD (NPI 1386296341) is an individual pediatrics provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD477619) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Branch.

NPPES Registry Identity

NPI1386296341
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRACHI AGARWALCredential: MD
Location Address501 S WASHINGTON AVEScranton, PA 18505-3814
Mailing Address21 Briarwood WaySouth Abington Township, PA 18411-9094 · (408) 507-8005
Phone(570) 591-5264
Fax(570) 591-5209
Sole ProprietorYes
Enumeration DateJuly 10, 2019
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1386296341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD477619
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
501 S WASHINGTON AVE, Scranton, PA 18505
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Secondary Practice Location 1

Location 1300 2nd AveLong Branch, NJ 07740-6303 · Phone (732) 923-7251 · Fax (732) 923-7255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prachi Agarwal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Prachi Agarwal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Wright Center Medical Group
Same address
Federally Qualified Health Center (FQHC)
501 S WASHINGTON AVE
Scranton, PA 18505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 91 clinicians in this Medicare group
NPI 1649836941 (570) 941-0630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18505 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

DOUGLAS FISHER DO
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
DR. RAMSHA KHAN DO
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
MRS. MARIAM CHELIDZE MD
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
GRIFFIN BURKE NEVILLE MD
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
MARIJA MILETIC
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
DR. MEAGHAN PATRICIA RUDDY PHD
Clinical Ethicist
501 S WASHINGTON AVE, STE 1000
SCRANTON, PA 18505
Lackawanna County (570) 371-7176
DR. WAIL ALSAFI MD
Internal Medicine
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (904) 613-8158
DEEPINDER SAMRA MD
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 591-5131

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 Prachi Agarwal's NPI number?

The NPI number for Prachi Agarwal is 1386296341. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Prachi Agarwal located?

Prachi Agarwal practices at 501 S Washington Ave, Scranton, PA 18505. The listed phone number is (570) 591-5264.

What is Prachi Agarwal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Prachi Agarwal enrolled in Medicare?

Yes. Prachi Agarwal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prachi Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prachi Agarwal reassigns Medicare benefits to The Wright Center Medical Group (Scranton, PA). 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 Prachi Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prachi Agarwal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Prachi 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.

When was this NPI record last updated?

The NPPES record for Prachi Agarwal was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.