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DR. SUNEAL KUMAR AGARWAL MD
NPI 1720242324
Internal Medicine - Gastroenterology in Houston, TX

Active since July 12, 2008PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
7200 CAMBRIDGE ST, SUITE 10C, HOUSTON, TX 77030(713) 798-0950 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Suneal Kumar Agarwal Md NPPES

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

DR. SUNEAL KUMAR AGARWAL MD (NPI 1720242324) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (N9155) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720242324
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SUNEAL KUMAR AGARWALCredential: MD
Location Address7200 CAMBRIDGE ST, SUITE 10CHouston, TX 77030-4202
Mailing Address7200 Cambridge St, Suite 10cHouston, TX 77030-4202 · (713) 798-0950
Phone(713) 798-0950
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 12, 2008
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1720242324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · N9155
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License N9155 (TX)
7200 CAMBRIDGE ST, Houston, TX 77030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Suneal Kumar Agarwal 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 ID648490599
PECOS Enrollment IDI20140929000472
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 9

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.

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.
103 services92 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.
68 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
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.
42 services41 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
41 services41 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.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers19 claims540 services$4.59 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers16 claims7,177 services$0.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. HANNAH LANE COMBS PHD
Clinical Neuropsychologist
7200 CAMBRIDGE ST
HOUSTON, TX 77030
Harris County (713) 798-6177
DR. LU LIN M.D., PH.D.
Psychiatry & Neurology (Neurology)
7200 CAMBRIDGE ST, SUITE 9A
HOUSTON, TX 77030
Harris County (713) 798-2273
LAILA NOORUDDIN A.P.N.
Nurse Practitioner
7200 CAMBRIDGE ST
HOUSTON, TX 77030
Harris County (713) 798-1000
DR. FRIEDRICH-CARL EBERHARD VON RUNDSTEDT M.D.
Student in an Organized Health Care Education/Training Program
7200 CAMBRIDGE ST, BAYLOR COLLEGE OF MEDICINE DEPARTMENT OF UROLOGY
HOUSTON, TX 77030
Harris County (713) 798-6841
DR. JACOB JOSEPH MANDEL M.D.
Psychiatry & Neurology (Neurology)
7200 CAMBRIDGE ST, 9TH FLOOR
HOUSTON, TX 77030
Harris County (713) 798-8259
DR. LAYLA ABUSHAMAT M.D., M.P.H.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7200 CAMBRIDGE ST
HOUSTON, TX 77030
Harris County (713) 798-1000
ANGELICA MILLER FNP-C
Nurse Practitioner (Family)
7200 CAMBRIDGE ST
HOUSTON, TX 77030
Harris County (713) 798-1000
MR. BRIAN DAVID LEPOW DPM
Podiatrist (Foot & Ankle Surgery)
7200 CAMBRIDGE ST, SUITE 6B
HOUSTON, TX 77030
Harris County (713) 798-5700

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 Suneal Agarwal's NPI number?

The NPI number for Suneal Agarwal is 1720242324. It was assigned to this individual provider in the NPPES registry on July 12, 2008.

Where is Suneal Agarwal located?

Suneal Agarwal practices at 7200 Cambridge St Suite 10C, Houston, TX 77030. The listed phone number is (713) 798-0950.

What is Suneal Agarwal's specialty?

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

Is Suneal Agarwal enrolled in Medicare?

Yes. Suneal 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 Suneal Agarwal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Suneal 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 Suneal Agarwal affiliated with any hospitals?

According to CMS data, Suneal Agarwal is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Suneal Agarwal was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.