NITHYA V AGRAWAL MD., MS., MPH
NPI 1982811212
Internal Medicine in Gardner, MA

Q: What is Nithya Agrawal's NPI number?

The NPI number for Nithya Agrawal is 1982811212. It was assigned to this individual provider in the NPPES registry on May 17, 2007. The provider is also known as Nithya Venkatraman.

Q: What is Nithya Agrawal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nithya Agrawal was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 17, 2007PECOS EnrolledAccepts Medicare Assignment

242 GREEN ST, GARDNER, MA 01440(978) 632-6420 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nithya V Agrawal Md., Ms., Mph NPPES

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

NITHYA V AGRAWAL MD., MS., MPH (NPI 1982811212) is an individual internal medicine provider in Gardner, Massachusetts, licensed in Massachusetts (238872) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1982811212

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNITHYA V AGRAWALCredential: MD., MS., MPH

Location Address242 GREEN STGardner, MA 01440-1336

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885

Phone(978) 632-6420

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 17, 2007

Last NPPES UpdateJune 6, 2025

NPPES CertifiedJune 6, 2025

✔ NPI 1982811212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MA · 238872✔ Licensed in CA · A122236

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 238872 (MA)

242 GREEN ST, Gardner, MA 01440

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Other Names 1

Former Name (1)Nithya Venkatraman

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

Nithya V Agrawal Md., Ms., Mph 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 ID4284771825

PECOS Enrollment IDI20130124000078

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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…

96%155 patients4/55-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.

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.

JANE ALLARD RN

Registered Nurse