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SANKET AGARWAL MD
NPI 1871908137
Internal Medicine in New York, NY

Active since June 25, 2014PECOS Enrolled
1901 1ST AVE RM 704, NEW YORK, NY 10029(212) 423-6725 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2020, Mar 17, 2018, Mar 5, 2018 (3 updates tracked since 2018).

About Sanket Agarwal Md NPPES

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

SANKET AGARWAL MD (NPI 1871908137) is an individual internal medicine provider in New York, New York, licensed in New York (294740) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871908137
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANKET AGARWALCredential: MD
Location Address1901 1ST AVE RM 704New York, NY 10029-7494
Mailing Address809 82nd Parkway, Hospital MedicineMyrtle Beach, SC 29572 · (843) 692-1000
Phone(212) 423-6725
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2014
Last NPPES UpdateMarch 5, 20203 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
✔ NPI 1871908137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 294740
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1901 1ST AVE RM 704, New York, NY 10029
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Secondary Practice Locations 2

Location 1123 Summer St, Internal MedicineWorcester, MA 01608-1216 · Phone (814) 321-1878
Location 2809 82nd Parkway, Hospital MedicineMyrtle Beach, SC 29572 · Phone (843) 692-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanket Agarwal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163713801
PECOS Enrollment IDI20181012000673
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 3

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.

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.
227 services80 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.
59 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%251 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sanket Agarwal's NPI number?

The NPI number for Sanket Agarwal is 1871908137. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Sanket Agarwal located?

Sanket Agarwal practices at 1901 1st Ave Rm 704, New York, NY 10029. The listed phone number is (212) 423-6725.

What is Sanket Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanket Agarwal enrolled in Medicare?

Yes. Sanket Agarwal is registered in the Medicare PECOS enrollment system.

Is Sanket Agarwal affiliated with any hospitals?

According to CMS data, Sanket Agarwal is affiliated with Montefiore Medical Center, Good Samaritan Hospital Of Suffern, St Anthony Community Hospital, Westchester Medical Center and White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Sanket Agarwal was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.