RAJIV AGRAWAL MD
NPI 1659392496
Family Medicine in St Clair Shores, MI
About Rajiv Agrawal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJIV AGRAWAL MD (NPI 1659392496) is an individual family medicine provider in St Clair Shores, Michigan, licensed in Michigan (4301075779) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Rajiv 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.
Medicare Billing Reassignment
Medicare enrollment records show Rajiv Agrawal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sterling Heights, MI 48312
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Pioneer Medical Associates PC
- 28 clinicians in this Medicare group
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 13
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Rajiv Agrawal's NPI number?
The NPI number for Rajiv Agrawal is 1659392496. It was assigned to this individual provider in the NPPES registry on July 21, 2006.
Where is Rajiv Agrawal located?
Rajiv Agrawal practices at 23600 Harper Avenue Suite 102, St Clair Shores, MI 48080. The listed phone number is (586) 443-4940.
What is Rajiv Agrawal's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rajiv Agrawal enrolled in Medicare?
Yes. Rajiv Agrawal 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 organization bills Medicare for Rajiv Agrawal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rajiv Agrawal reassigns Medicare benefits to Pioneer Endoscopy & Surgery Center, L.L.C. (Sterling Heights, MI). 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 Rajiv Agrawal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rajiv Agrawal accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Rajiv Agrawal 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 Rajiv Agrawal affiliated with any hospitals?
According to CMS data, Rajiv Agrawal is affiliated with Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Rajiv 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.
# Rajiv Agrawal, MD · NPI 1659392496
Family Medicine physician in St Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1659392496 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301075779 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 23600 HARPER AVENUE, SUITE 102, St Clair Shores, MI 48080
- **Phone:** (586) 443-4940 · **Fax:** (586) 443-4945
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pioneer Endoscopy & Surgery Center, L.L.C. (NPI 1649752650, Sterling Heights, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN I03712
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Source: [NPI Profile](https://npiprofile.com/npi/1659392496) · Data from the CMS NPPES public registry.