DR. SUNIL KUMAR AGARWAL M.D, M.P.H., PHD
NPI 1710204334
Internal Medicine - Interventional Cardiology in Springfield, IL

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
800 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2020, Jun 25, 2018 (2 updates tracked since 2018).

About Dr. Sunil Kumar Agarwal M.d, M.p.h., Phd NPPES

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

DR. SUNIL KUMAR AGARWAL M.D, M.P.H., PHD (NPI 1710204334) is an individual interventional cardiology provider in Springfield, Illinois, licensed in Illinois (036145989) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1710204334
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. SUNIL KUMAR AGARWALCredential: M.D, M.P.H., PHD
Location Address800 N 1ST STSpringfield, IL 62702
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 21, 2010
Last NPPES UpdateMay 19, 20202 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
NPI 1710204334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in IL · 036145989
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

800 N 1ST ST, Springfield, IL 62702

Accepted 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

Dr. Sunil Kumar Agarwal M.d, M.p.h., Phd 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 ID8527313634
PECOS Enrollment IDI20220729000647
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 54

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,139 services939 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
689 services489 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.
567 services435 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
465 services234 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
418 services396 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
346 services275 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141322
Location200 Stahlhut DriveLincoln, IL 62656 · Logan County
Emergency services

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Physical Therapy Assistant
800 N 1ST ST
SPRINGFIELD, IL 62702
Physician Assistant
800 N 1ST ST
SPRINGFIELD, IL 62702
Physician Assistant (Surgical)
800 N 1ST ST
SPRINGFIELD, IL 62702
Physical Therapist
800 N 1ST ST
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
800 N 1ST ST
SPRINGFIELD, IL 62702
Physical Therapist
800 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
800 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine (Interventional Cardiology)
800 N 1ST ST
SPRINGFIELD, IL 62702

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 Sunil Agarwal's NPI number?

The NPI number for Sunil Agarwal is 1710204334. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Sunil Agarwal located?

Sunil Agarwal practices at 800 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Sunil Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sunil Agarwal enrolled in Medicare?

Yes. Sunil 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 Sunil Agarwal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sunil 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 Sunil Agarwal affiliated with any hospitals?

According to CMS data, Sunil Agarwal is affiliated with St Johns Hospital, Memorial Medical Center, Abraham Lincoln Memorial Hospital, Taylorville Memorial Hospital and Carlinville Area Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Agarwal was last updated on May 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.