RADHA AGRAWAL MD
NPI 1881629798
Internal Medicine - Pulmonary Disease in Bellevue, WA

Q: What is Radha Agrawal's NPI number?

The NPI number for Radha Agrawal is 1881629798. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Radha Agrawal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Radha Agrawal was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

79.16/100

CMS Quality Rating

1135 116TH AVE NE, SUITE 600, BELLEVUE, WA 98004(425) 454-2671(425) 990-5260 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Radha Agrawal Md NPPES

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

RADHA AGRAWAL MD (NPI 1881629798) is an individual pulmonary disease provider in Bellevue, Washington, licensed in Washington (60198936) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of George Washington University School Of Medicine (2002).

NPPES Registry Identity

NPI1881629798

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameRADHA AGRAWALCredential: MD

Location Address1135 116TH AVE NE, SUITE 600Bellevue, WA 98004-4623

Mailing Address1135 116th Ave Ne, Suite 600Bellevue, WA 98004-4623 · (425) 454-2671 · Fax (425) 990-5260

Phone(425) 454-2671

Fax(425) 990-5260

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2002

Enumeration DateJuly 11, 2006

Last NPPES UpdateMarch 9, 2012

✔ NPI 1881629798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WA · 60198936

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1135 116TH AVE NE, Bellevue, WA 98004

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Other Identifiers 4

Medicare ID-Type UnspecifiedK29394

Medicaid036113005IL

Other036-113005IL · State License

Medicare UPINI59036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Radha 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.

PECOS PAC ID244234128

PECOS Enrollment IDI20110714000500

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 16

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

230 services85 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.

218 services110 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

110 services65 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

69 services56 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.

66 services44 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

62 services59 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

43 services41 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

42 services32 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

38 services27 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

28 services23 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.

23 services23 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

22 services16 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

20 services16 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

20 services16 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

15 services15 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500051

Location1035-116th Ave NEBellevue, WA 98004 · King County

Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

79.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.53

Promoting Interoperability

100

Improvement Activities

Cost

56.02

Referred Medical Equipment & Supplies CMS DME claims 8

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

3 suppliers40 claims41 services$13.67 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers21 claims21 services$3.58 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

10 suppliers175 claims175 services$64.64 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers108 claims108 services$33.40 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

5 suppliers43 claims2,580 services$6.68 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers24 claims2,490 services$0.09 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.

JOSEPH W DOUCETTE M.D.

Internal Medicine (Cardiovascular Disease)

1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004

King County (425) 454-2656

WASHINGTON IMAGING SERVICES LLC

Specialist

1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004

King County (425) 688-0100

ROANNE R E SELINGER MD

Internal Medicine (Gastroenterology)

1135 116TH AVE NE, #560
BELLEVUE, WA 98004

King County (425) 454-4768

OVERLAKE BREAST IMAGING LLC

Clinic/Center (Radiology)

1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004

King County (425) 467-3754

DAVID C MORTON M.D.

Internal Medicine

1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004

King County (425) 289-3100

SHIE-PON TZUNG MD PHD

Internal Medicine (Gastroenterology)

1135 116TH AVE NE, #560
BELLEVUE, WA 98004

King County (425) 454-4768

PROLIANCE SURGEONS INC., P.S.

Orthopaedic Surgery

1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004

King County (425) 455-3600

OVERLAKE MEDICAL TOWER PHARMACY

Pharmacy (Community/Retail Pharmacy)

1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004

King County (425) 688-5958

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 Radha Agrawal's NPI number?

The NPI number for Radha Agrawal is 1881629798. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Radha Agrawal located?

Radha Agrawal practices at 1135 116th Ave NE Suite 600, Bellevue, WA 98004. The listed phone number is (425) 454-2671.

What is Radha Agrawal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Radha Agrawal enrolled in Medicare?

Yes. Radha 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.

What insurance does Radha Agrawal accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Radha 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 Radha Agrawal affiliated with any hospitals?

According to CMS data, Radha Agrawal is affiliated with Overlake Hospital Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Radha Agrawal was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.