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ANIL AGARWAL MD
NPI 1497704373
Internal Medicine - Gastroenterology in Clifton, NJ

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
905 ALLWOOD RD, SUITE 101, CLIFTON, NJ 07012(973) 546-4242(973) 546-7639 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anil Agarwal Md NPPES

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

ANIL AGARWAL MD (NPI 1497704373) is an individual gastroenterology provider in Clifton, New Jersey, licensed in New Jersey (MA043396) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1497704373
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANIL AGARWALCredential: MD
Location Address905 ALLWOOD RD, SUITE 101Clifton, NJ 07012-1933
Mailing Address905 Allwood Rd, Suite 101Clifton, NJ 07012-1933 · (973) 546-4242 · Fax (973) 546-7639
Phone(973) 546-4242
Fax(973) 546-7639
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateMay 9, 2006
Last NPPES UpdateSeptember 29, 2011
✔ NPI 1497704373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA043396
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
905 ALLWOOD RD, Clifton, NJ 07012
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN536524NJ
Medicaid1491202NJ
Other1497704373NJ · Horizon Bcbs Of Nj
Medicare UPIND19319

Accepted Insurance

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

Anil Agarwal 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 ID1456419712
PECOS Enrollment IDI20081015000593
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 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 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.
84 services57 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.
57 services57 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services25 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310006
Location350 BoulevardPassaic, NJ 07055 · Passaic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07012 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%451 patients
Appropriate follow-up interval based on pathology findings in screening colonoscopy
93%136 patients
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
96%223 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

DR. MEENOO AGARWAL M.D.
Anesthesiology
905 ALLWOOD RD, SUITE 101
CLIFTON, NJ 07012
Passaic County (973) 546-4242
NEUROLOGY GROUP OF NORTH JERSEY PA
Psychiatry & Neurology (Neurology)
905 ALLWOOD RD, SUITE 105
CLIFTON, NJ 07012
Passaic County (973) 471-3680
THE CLIFTON CENTER FOR ORAL SURGERY AND JAW RECONSTRUCTION LLC
Clinic/Center (Dental)
905 ALLWOOD RD, SUITE 202
CLIFTON, NJ 07012
Passaic County (973) 955-0100
GENERAL AND VASCULAR SURGICAL ASSOCIATES OF NORTH JERSEY, P.A.
Surgery
905 ALLWOOD RD, SUITE 204
CLIFTON, NJ 07012
Passaic County (973) 778-6676
DR. STANLEY JOEL KNEP MD
Psychiatry & Neurology (Neurology)
905 ALLWOOD RD, SUITE 105
CLIFTON, NJ 07012
Passaic County (973) 471-3680
MR. TIMOTHY M WHITE P.A.
Physician Assistant (Surgical)
905 ALLWOOD RD, SUITE 204
CLIFTON, NJ 07012
Passaic County (973) 778-6676
ONE OAK MEDICAL GROUP, LLC
Specialist
905 ALLWOOD RD
CLIFTON, NJ 07012
Passaic County (973) 870-7777
MS. ELIZABETH COLL NP
Nurse Practitioner
905 ALLWOOD RD, SUITE 204
CLIFTON, NJ 07012
Passaic County (973) 778-6676

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 Anil Agarwal's NPI number?

The NPI number for Anil Agarwal is 1497704373. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Anil Agarwal located?

Anil Agarwal practices at 905 Allwood Rd Suite 101, Clifton, NJ 07012. The listed phone number is (973) 546-4242.

What is Anil Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anil Agarwal enrolled in Medicare?

Yes. Anil 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 Anil Agarwal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Anil 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 Anil Agarwal affiliated with any hospitals?

According to CMS data, Anil Agarwal is affiliated with St Mary's General Hospital.

When was this NPI record last updated?

The NPPES record for Anil Agarwal was last updated on September 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.