RICHA AGARWAL M.D.
NPI 1932381829
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Durham, NC

Q: What is Richa Agarwal's NPI number?

The NPI number for Richa Agarwal is 1932381829. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Q: What is Richa Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Richa Agarwal was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 03, 2007PECOS EnrolledAccepts Medicare Assignment

DUKE UNIVERSITY MEDICAL CENTER 2301 ERWIN ROAD, DURHAM, NC 27710(919) 681-1202 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2018, Feb 2, 2016 (2 updates tracked since 2016).

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About Richa Agarwal M.d. NPPES

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

RICHA AGARWAL M.D. (NPI 1932381829) is an individual advanced heart failure and transplant cardiology provider in Durham, North Carolina, licensed in North Carolina (2018-02257) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1932381829

Entity TypeIndividualFemale

Primary Taxonomy207RA0001X

Provider Legal NameRICHA AGARWALCredential: M.D.

Location AddressDUKE UNIVERSITY MEDICAL CENTER 2301 ERWIN ROADDurham, NC 27710

Mailing Address40 Duke Medicine Circle Box 3126Durham, NC 27710-0001 · (919) 681-1202

Phone(919) 681-1202

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 2005

Enumeration DateDecember 3, 2007

Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration

✔ NPI 1932381829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

Licenses✔ Licensed in NC · 2018-02257✔ Licensed in PA · MD446614

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD446614 (PA)

DUKE UNIVERSITY MEDICAL CENTER 2301 ERWIN ROAD, Durham, NC 27710

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Secondary Practice Location 1

Location 1320 E North Ave, 16th Floor-South TowerPittsburgh, PA 15212-4756 · Phone (412) 359-6550 · Fax (412) 359-6494

Other Identifiers 3

Medicaid3810023922WV

Medicaid0071026OH

Medicaid1027560510001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Richa Agarwal M.d. 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 ID7719135722

PECOS Enrollment IDI20181203002106

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 Richa Agarwal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc.

0.7 mi

General Practice

40 DUKE MEDICINE CIR
Durham, NC 27710

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1205553369 (919) 620-4855

Wakemed Specialists Group, LLC

18 mi

Infectious Disease

2304 WESVILL CT
Raleigh, NC 27607

Reassigned Medicare billing, North Carolina enrollment
997 clinicians in this Medicare group

NPI 1497431837 (919) 350-8000

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.

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.

141 services52 patients

Evaluation of lower heart chamber assist device 93750

An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.

94 services34 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.

86 services67 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.

60 services35 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.

53 services46 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.

30 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

2 suppliers28 claims28 services$18.61 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

2 suppliers29 claims204 services$36.30 avg. paid by Medicare

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

1 supplier20 claims1,100 services$1.37 avg. paid by Medicare

Cyclosporine, oral, 100 mg J7502

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims732 services$1.54 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers16 claims1,740 services$0.18 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers22 claims22 services$17.21 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER W WHITE MD, PHD, FRCSC

Thoracic Surgery (Cardiothoracic Vascular Surgery)