SANJAY AGARWALA MD
NPI 1932179041
Radiology - Diagnostic Radiology in Lexington, KY

Q: What is Sanjay Agarwala's NPI number?

The NPI number for Sanjay Agarwala is 1932179041. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Sanjay Agarwala's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Agarwala was last updated on July 27, 2021. 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.

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment

1221 S BROADWAY, LEXINGTON, KY 40504(859) 258-4181(859) 258-4064 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sanjay Agarwala Md NPPES

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

SANJAY AGARWALA MD (NPI 1932179041) is an individual diagnostic radiology provider in Lexington, Kentucky, licensed in Kentucky (55429) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Meharry Medical College School Of Medicine (1993).

NPPES Registry Identity

NPI1932179041

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameSANJAY AGARWALACredential: MD

Location Address1221 S BROADWAYLexington, KY 40504-2701

Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-4181 · Fax (859) 258-4064

Phone(859) 258-4181

Fax(859) 258-4064

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 1993

Enumeration DateJanuary 23, 2006

Last NPPES UpdateJuly 27, 2021

NPPES CertifiedJuly 27, 2021

✔ NPI 1932179041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in KY · 55429✔ Licensed in TX · L8258

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1221 S BROADWAY, Lexington, KY 40504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanjay Agarwala 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 ID3779513650

PECOS Enrollment IDI20051117000716

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 Reassignments

Medicare enrollment records show Sanjay Agarwala reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohri, LLC

663 mi

Radiology

303 W 1ST ST
Sanford, FL 32771

Reassigned Medicare billing, Florida enrollment
269 clinicians in this Medicare group

NPI 1710377783 (407) 330-7333

Orlando Health Medical Group Inc

680 mi

Internal Medicine

52 W UNDERWOOD ST
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
3,290 clinicians in this Medicare group

NPI 1669429577 (321) 841-2452

Sherman MD Provider Inc

743 mi

Family Medicine

500 N HIGHLAND AVE
Sherman, TX 75092

Reassigned Medicare billing, Texas enrollment
127 clinicians in this Medicare group

NPI 1841696846 (903) 870-4611

Singleton Associates PA

827 mi

Diagnostic Radiology

9250 PINECROFT DR
Shenandoah, TX 77380

Reassigned Medicare billing, Texas enrollment
1,278 clinicians in this Medicare group

NPI 1487811766 (936) 266-2000

Shps PLLC

1,551 mi

Diagnostic Radiology

1301 S CRISMON RD
Mesa, AZ 85209

Reassigned Medicare billing, Arizona enrollment
19 clinicians in this Medicare group

NPI 1497490056 (480) 358-6100

Sonoran Radiology Ltd

1,565 mi

Vascular & Interventional Radiology

1400 S DOBSON RD
Mesa, AZ 85202

Reassigned Medicare billing, Arizona enrollment
447 clinicians in this Medicare group

NPI 1033745708 (623) 299-8743

Advanced Radiology And Interventional Associates Inc

1,993 mi

Diagnostic Radiology

1800 N CALIFORNIA ST
Stockton, CA 95204

Reassigned Medicare billing, Arizona enrollment
6 clinicians in this Medicare group

NPI 1669123626 (209) 943-2000

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

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

705 services705 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

703 services703 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

114 services109 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

83 services79 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

74 services61 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

56 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450862

Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County

Emergency services Birthing friendly

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670053

Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County

Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670075

Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County

Emergency services

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670122

Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

95%608 patients

Radiology: Reminder System for Screening Mammograms

Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram

100%687 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

97%34 patients

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.

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.

SHAILENDRA CHOPRA M.D.

Radiology (Body Imaging)