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DR. VIJAY P. AGARWAL M.D.
NPI 1609964154
Internal Medicine - Gastroenterology in Palm Springs, CA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1330 N INDIAN CANYON DR STE F, PALM SPRINGS, CA 92262(505) 766-5471(505) 766-6883 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2025, Nov 9, 2022, Jun 27, 2018 (3 updates tracked since 2018).

About Dr. Vijay P. Agarwal M.d. NPPES

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

DR. VIJAY P. AGARWAL M.D. (NPI 1609964154) is an individual gastroenterology provider in Palm Springs, California, licensed in New Mexico (89-141) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1609964154
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. VIJAY P. AGARWALCredential: M.D.
Location Address1330 N INDIAN CANYON DR STE FPalm Springs, CA 92262-4880
Mailing Address18213 Hampton CtFountain Valley, CA 92708-5861 · (505) 766-5471 · Fax (505) 766-6883
Phone(505) 766-5471
Fax(505) 766-6883
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1609964154 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 NM · 89-141
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.
1330 N INDIAN CANYON DR STE F, Palm Springs, CA 92262
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Secondary Practice Location 1

Location 1200 Oak St NE Ste 1Albuquerque, NM 87106-5614 · Phone (505) 766-5471

Other Identifiers 1

MedicaidL8068NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Providence Health Plan.Insurance ›

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

Dr. Vijay P. 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 ID9638328974
PECOS Enrollment IDI20130809000425, I20190903001672
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

3

Medicare enrollment records show Vijay Agarwal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Homan A. Zadeh, M.D., M.P.H., Inc.
Same address
Gastroenterology
1330 N INDIAN CANYON DR, SUITE F
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Homan A Zadeh MD Mph Inc
  • 14 clinicians in this Medicare group
NPI 1891026373 (760) 864-4163
Enloe Medical Center
499 mi
Gastroenterology
111 RALEY BLVD, SUITE 100
Chico, CA 95928
  • Reassigned Medicare billing, California enrollment
  • 42 clinicians in this Medicare group
NPI 1801226162 (530) 894-8800
Benefis Hospitals Inc
981 mi
Multi-Specialty
1401 25TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1780968974 (406) 455-5000

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 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.

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.
154 services148 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.
90 services55 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.
88 services88 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
86 services80 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
70 services63 patients
Insertion of stomach tube using a flexible endoscope 43246
This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92262 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Other Providers at the Same Location NPPES 2

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

KRISTI SAKAMOTO NP
Nurse Practitioner (Family)
1330 N INDIAN CANYON DR STE F
PALM SPRINGS, CA 92262
Riverside County (760) 864-4163
TAYLOR MORGAN ALTUN FNP-C
Nurse Practitioner (Family)
1330 N INDIAN CANYON DR STE F
PALM SPRINGS, CA 92262
Riverside County (760) 864-4163

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 Vijay Agarwal's NPI number?

The NPI number for Vijay Agarwal is 1609964154. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Vijay Agarwal located?

Vijay Agarwal practices at 1330 N Indian Canyon Dr Ste F, Palm Springs, CA 92262. The listed phone number is (505) 766-5471.

What is Vijay Agarwal's specialty?

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

Is Vijay Agarwal enrolled in Medicare?

Yes. Vijay 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 Vijay Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Agarwal reassigns Medicare benefits to 3 organizations: Homan A. Zadeh, M.D., M.P.H., Inc. (Palm Springs, CA), Enloe Medical Center (Chico, CA) and Benefis Hospitals Inc (Great Falls, MT). 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 Vijay Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vijay Agarwal accept?

Health plans from Blue Cross and Blue Shield of Montana and Providence Health Plan list Vijay 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 Vijay Agarwal affiliated with any hospitals?

According to CMS data, Vijay Agarwal is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Vijay Agarwal was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.