ATUL AGRAWAL MD
NPI 1528146016
Internal Medicine - Rheumatology in Antioch, CA

Q: What is Atul Agrawal's NPI number?

The NPI number for Atul Agrawal is 1528146016. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Atul Agrawal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Atul Agrawal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 01, 2006PECOS EnrolledAccepts Medicare Assignment

71.6/100

CMS Quality Rating

5601 DEER VALLEY RD, ANTIOCH, CA 94531(925) 813-6500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Atul Agrawal Md NPPES

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

ATUL AGRAWAL MD (NPI 1528146016) is an individual rheumatology provider in Antioch, California, licensed in California (G87707) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois Medical College (1992).

NPPES Registry Identity

NPI1528146016

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameATUL AGRAWALCredential: MD

Location Address5601 DEER VALLEY RDAntioch, CA 94531-8577

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262

Phone(925) 813-6500

Sole ProprietorNo

Medical School CMSIllinois Medical CollegeGraduated 1992

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528146016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in CA · G87707

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.

5601 DEER VALLEY RD, Antioch, CA 94531

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Other Identifiers 1

Medicare ID-Type Unspecified00G877070

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

Atul Agrawal 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 ID9436151172

PECOS Enrollment IDI20070208000190

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 11

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, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

10,750 services14 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

7,800 services15 patients

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.

2,700 services29 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.

969 services305 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

609 services71 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.

266 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94531 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

71.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

66.34

Promoting Interoperability

100

Improvement Activities

Cost

39.01

Reported Quality Measures

Controlling High Blood Pressure

44%34 patients2/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

91%2,400 patients2/55-star benchmark: 100%

Gout: Serum Urate Target

47%36 patients

Hepatitis B Safety Screening

35%40 patients

Provide Patients Electronic Access to Their Health Information

95%568 patients4/55-star benchmark: 100%

Safe Hydroxychloroquine Dosing

63%30 patients

Screening for Osteoporosis for Women Aged 65-85 Years of Age

62%196 patients3/55-star benchmark: 98%

Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy

85%26 patients4/55-star benchmark: 100%

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 20

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

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