PRASHANT AGARWAL M.D.
NPI 1770714834
Pediatrics - Neonatal-Perinatal Medicine in Madera, CA
NPI Status: Active since August 06, 2009
Contact Information
9300 VALLEY CHILDRENS PL # SE21
MADERA, CA
ZIP 93636
Phone: (559) 353-5460
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About PRASHANT AGARWAL
This page provides the complete NPI Profile along with additional information for Prashant Agarwal, a pediatrician established in Madera, California with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1770714834 assigned on August 2009. The practitioner's primary taxonomy code is 2080N0001X with license number C173176 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1770714834
- Provider Name
- PRASHANT AGARWAL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9300 VALLEY CHILDRENS PL # SE21 MADERA, CA 93636
- Location Phone
- (559) 353-5460
- Mailing Address
- 9300 VALLEY CHILDRENS PL # SC05 MADERA, CA 93636
- Mailing Phone
- (559) 353-5700
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-06-2009
- Last Update Date
- 10-08-2021
- Code Navigator
A pediatrician like Prashant Agarwal is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C173176
- License State
- CA
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | 4301093952 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Prashant 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
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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 | 7 | 7 | 0 | 7 | 1 | 4 | 8 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 14 | 1 | 8 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 4 + 1 + 8 + 8 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1770714834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902187289 | DR. RADHIKA NARANG M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 9300 VALLEY CHILDRENS PL # SE21 MADERA, CA 93636 (559) 353-8769 |
| 1033139951 | DR. JEFFREY THOMAS PIETZ MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 9300 VALLEY CHILDRENS PL # SE21 MADERA, CA 93636 (559) 353-8769 |
| 1235196197 | DR. HAL HELBOCK MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 9300 VALLEY CHILDRENS PL # SE21 MADERA, CA 93636 (559) 353-8769 |
| 1811200124 | DR. KATRINA TAN IBONIA M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 9300 VALLEY CHILDRENS PL # SE21 MADERA, CA 93636 (559) 353-8769 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770714834, enumerated in the NPI registry as an "individual" on August 06, 2009
The provider is located at 9300 Valley Childrens Pl # Se21 Madera, Ca 93636 and the phone number is (559) 353-5460
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: HAP CareSource and Priority Health. 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.
This NPI record was last updated on August 06, 2009. 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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