SANDEEP K AGARWAL
NPI 1467489757
Internal Medicine - Rheumatology in Houston, TX

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030(713) 986-6016 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandeep K Agarwal NPPES

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

SANDEEP K AGARWAL (NPI 1467489757) is an individual rheumatology provider in Houston, Texas, licensed in Texas (M6000) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1467489757
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSANDEEP K AGARWAL
Location Address7200 CAMBRIDGE ST FL 10Houston, TX 77030-4202
Mailing AddressPo Box 201088Houston, TX 77216-1088 · (713) 500-3500
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2000
Enumeration DateJune 26, 2006
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
NPI 1467489757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in TX · M6000 Licensed in MA · 214643
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License M6000 (TX)
7200 CAMBRIDGE ST FL 10, Houston, TX 77030

Secondary Practice Location 1

Location 16410 Fannin St, SUITE 600Houston, TX 77030-3000 · Phone (832) 325-7191 · Fax (713) 512-2262

Other Identifiers 2

Medicaid186106401TX
Other8W4381TX · Bcbs

Accepted 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

Sandeep K Agarwal 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 ID7810994969
PECOS Enrollment IDI20070731000649
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 8

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
960 services12 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.
132 services83 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
81 services44 patients
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.
72 services54 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
56 services35 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
47 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Psychiatry & Neurology (Neurology)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Transplant Surgery
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Surgery (Surgical Oncology)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Hospitalist
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Practitioner (Critical Care Medicine)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030

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 Sandeep Agarwal's NPI number?

The NPI number for Sandeep Agarwal is 1467489757. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Sandeep Agarwal located?

Sandeep Agarwal practices at 7200 Cambridge St Fl 10, Houston, TX 77030. The listed phone number is (713) 986-6016.

What is Sandeep Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sandeep Agarwal enrolled in Medicare?

Yes. Sandeep 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.

What insurance does Sandeep Agarwal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Sandeep 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.

Is Sandeep Agarwal affiliated with any hospitals?

According to CMS data, Sandeep Agarwal is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, Harris Health System and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Agarwal was last updated on November 30, 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.