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DR. KISHORE AGRAWAL
NPI 1679540603
Surgery in Staten Island, NY

Active since March 08, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
4287 RICHMOND AVE, STATEN ISLAND, NY 10312(718) 948-1273(718) 984-6932 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kishore Agrawal NPPES

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

DR. KISHORE AGRAWAL (NPI 1679540603) is an individual surgery provider in Staten Island, New York, licensed in New York (146200) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679540603
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KISHORE AGRAWAL
Location Address4287 RICHMOND AVEStaten Island, NY 10312-6241
Mailing Address4287 Richmond AveStaten Island, NY 10312-6241 · (718) 948-1273 · Fax (718) 984-6932
Phone(718) 948-1273
Fax(718) 984-6932
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1679540603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 146200
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4287 RICHMOND AVE, Staten Island, NY 10312
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kishore Agrawal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kishore Agrawal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
28 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10312 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

MURLIDHAR PAHUJA MD
Surgery
4287 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 967-6230

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 Kishore Agrawal's NPI number?

The NPI number for Kishore Agrawal is 1679540603. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Kishore Agrawal located?

Kishore Agrawal practices at 4287 Richmond Ave, Staten Island, NY 10312. The listed phone number is (718) 948-1273.

What is Kishore Agrawal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kishore Agrawal enrolled in Medicare?

Yes. Kishore Agrawal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kishore Agrawal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kishore Agrawal reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Kishore Agrawal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kishore Agrawal was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.