ANIL K AGARWAL M.D.
NPI 1639115413
Internal Medicine - Nephrology in Columbus, OH
NPI Status: Active since June 21, 2006
Contact Information
456 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-4997
Fax: (614) 293-3073
- Individual
- Male
- Internal Medicine
- Nephrology
- Accepts Insurance
- PECOS Enrolled
About ANIL AGARWAL
This page provides the complete NPI Profile along with additional information for Anil Agarwal, an internist established in Columbus, Ohio with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1639115413 assigned on June 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 35067191 (OH). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1639115413
- Provider Name
- ANIL K AGARWAL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 456 W 10TH AVE COLUMBUS, OH 43210
- Location Phone
- (614) 293-4997
- Location Fax
- (614) 293-3073
- Mailing Address
- 700 ACKERMAN RD SUITE 385 COLUMBUS, OH 43202
- Mailing Phone
- (614) 947-3700
- Mailing Fax
- (614) 293-3073
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-21-2006
- Last Update Date
- 03-21-2011
- Code Navigator
An internist like Anil Agarwal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35067191
- License State
- OH
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G29295 | MEDICARE UPIN (02) | OH | |
| 0249636 | MEDICAID (05) | OH | |
| AG0873882 | MEDICARE PIN (08) | OH |
Medicare Participation & PECOS Enrollment Status
Anil Agarwal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43210 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 1 | 5 | 4 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 1 | 10 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 1 + 1 + 0 + 4 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1639115413 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508862897 | DR. JAMES MCAULEY RPH, PHD Individual | Pharmacist (Pharmacotherapy) | 456 W 10TH AVE NEUROLOGY CLINIC - 1C COLUMBUS, OH 43210 (614) 293-4882 |
| 1245236256 | MARIALICE SCHMITT BENNETT RPH Individual | Pharmacist (Pharmacotherapy) | 456 W 10TH AVE RM 1970A COLUMBUS, OH 43210 (614) 292-2425 |
| 1356333066 | DR. COLLEEN ANN CLARK PHARMD Individual | Pharmacist (Pharmacotherapy) | 456 W 10TH AVE OSU CLINICAL PARTNERS PROGRAM COLUMBUS, OH 43210 (614) 293-5075 |
| 1962484725 | DR. JOHN ANTHONY DAVIS PHD MD Individual | Internal Medicine (Infectious Disease) | 456 W 10TH AVE DIVISION OF INFECTIOUS DISEASE COLUMBUS, OH 43210 (614) 293-5667 |
| 1316991276 | AARON WENGER M.D. Individual | Internal Medicine | 456 W 10TH AVE 4980 CRAMBLETT HALL COLUMBUS, OH 43210 (614) 293-7499 |
| 1801833447 | JOHN B CHRISTOFORIDIS M.D. Individual | Ophthalmology | 456 W 10TH AVE 5TH FLOOR COLUMBUS, OH 43210 (614) 293-0793 |
| 1215970553 | DR. MATTHEW EDWIN DANGEL MD Individual | Ophthalmology | 456 W 10TH AVE 5TH FLOOR COLUMBUS, OH 43210 (614) 293-0793 |
| 1033124813 | DR. JENNIFER ANNE SIPOS MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 292-3800 |
| 1225044233 | MS. ROBERTA LEE MITCH NURSE PRACTITIONER Individual | Nurse Practitioner (Women's Health) | 456 W 10TH AVE SUITE 2813 COLUMBUS, OH 43210 (614) 293-3069 |
| 1871509836 | CATHERINE R. LUCEY M.D. Individual | Internal Medicine (Geriatric Medicine) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 947-3700 |
| 1124035522 | LEE A HEBERT M.D. Individual | Internal Medicine (Nephrology) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 293-4997 |
| 1902813108 | SAMUEL CATALAND MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 292-3800 |
| 1215943733 | LARRY S SCHLESINGER M.D. Individual | Internal Medicine (Infectious Disease) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 947-3700 |
| 1093722803 | DARA P. SCHUSTER M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 292-3800 |
| 1275540031 | RICHARD T KLOOS Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 292-3800 |
| 1912914029 | KWAME OSEI M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 292-3800 |
| 1437166253 | MANUEL TZAGOURNIS M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 292-3800 |
| 1053328872 | KAREN M WEILAND N.P. Individual | Nurse Practitioner (Adult Health) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 292-3800 |
| 1548279656 | ELIZABETH DIAKOFF ESSIG MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 456 W 10TH AVE COLUMBUS, OH 43210 (614) 293-3800 |
| 1194837534 | MRS. GRETCHEN LYNNETTE WAGGONER AU.D. Individual | Audiologist | 456 W 10TH AVE 4A COLUMBUS, OH 43210 (614) 293-8065 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639115413, enumerated in the NPI registry as an "individual" on June 21, 2006
The provider is located at 456 W 10th Ave Columbus, Oh 43210 and the phone number is (614) 293-4997
The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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