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DR. RAHUL K. AGARWAL M.D.
NPI 1992930374
Hospitalist in Naperville, IL

Active since May 28, 2009PECOS EnrolledAccepts Medicare Assignment
801 S WASHINGTON ST FL 3, NAPERVILLE, IL 60540(630) 527-5359(630) 527-5526 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2026, Feb 3, 2017 (2 updates tracked since 2017).

About Dr. Rahul K. Agarwal M.d. NPPES

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

DR. RAHUL K. AGARWAL M.D. (NPI 1992930374) is an individual hospitalist provider in Naperville, Illinois, licensed in Illinois (036131562) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and maintains a secondary practice location in Joliet.

NPPES Registry Identity

NPI1992930374
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. RAHUL K. AGARWALCredential: M.D.
Location Address801 S WASHINGTON ST FL 3Naperville, IL 60540-7430
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 570-5315
Phone(630) 527-5359
Fax(630) 527-5526
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 28, 2009
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1992930374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036131562
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036131562 (IL)
801 S WASHINGTON ST FL 3, Naperville, IL 60540
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 Madison StJoliet, IL 60435-8200 · Phone (815) 725-7133

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..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

Dr. Rahul K. 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 ID5294980512
PECOS Enrollment IDI20130312000333
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

4

Medicare enrollment records show Rahul Agarwal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Des Plaines Physician Services, P.C.
16 mi
Internal Medicine
333 MADISON ST
Joliet, IL 60435
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Des Plaines Physician Services PC
  • 21 clinicians in this Medicare group
NPI 1164284055 (815) 725-7133
Hospitalist Consultants Group S.C.
17 mi
Internal Medicine
1900 SILVER CROSS BLVD
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois enrollment
  • 26 clinicians in this Medicare group
NPI 1215125752 (815) 300-5376
Prime Healthcare Illinois Medical Group LLC
24 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464
Endeavor Health Medical Group
32 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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 4

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.
474 services150 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.
261 services102 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services129 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.
104 services94 patients

Hospital Affiliations CMS Care Compare 4

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140155
Location500 W Court StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 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 supplier11 claims11 services$14.86 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 supplier11 claims11 services$63.86 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 Rahul Agarwal's NPI number?

The NPI number for Rahul Agarwal is 1992930374. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Rahul Agarwal located?

Rahul Agarwal practices at 801 S Washington St Fl 3, Naperville, IL 60540. The listed phone number is (630) 527-5359.

What is Rahul Agarwal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rahul Agarwal enrolled in Medicare?

Yes. Rahul Agarwal 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.

Which organizations bill Medicare for Rahul Agarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rahul Agarwal reassigns Medicare benefits to 4 organizations: Des Plaines Physician Services, P.C. (Joliet, IL), Hospitalist Consultants Group S.C. (New Lenox, IL), Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL) and Endeavor Health Medical Group (Evanston, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rahul Agarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rahul Agarwal accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Rahul Agarwal 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 Rahul Agarwal affiliated with any hospitals?

According to CMS data, Rahul Agarwal is affiliated with Presence Saint Joseph Medical Center, Presence St Marys Hospital, Silver Cross Hospital And Medical Centers and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Rahul Agarwal was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.