DR. RISHI KUMAR AGARWAL (M.D.) – Gastroenterology Physician, NPI 1164625257
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
239 GASTROENTEROLOGY in AL
Provider Addresses for DR. RISHI KUMAR AGARWAL (M.D.)
1 INDEPENDENCE PLZ
SUITE 900
BIRMINGHAM, AL 352092629
Phone: (205) 271-8000
Fax: (205) 271-8050
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 166 Open Payments records for all available years, with a total value of $3,384.
Total Amount is formed as General ($3,384) + Research ($0) + Ownership ($0) = $3,384.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($694).
Total Amount
$3,384
General + Research + Ownership
Payments
166
Total payment records
General Amount
$3,384
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130625000820 | I | Gastroenterology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,038 | 77 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 588 | 77 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 174 | 30 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 128 | 122 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 126 | 22 | $0 |
Insurance plans in this area (ZIP 35209)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | AL | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 35 | 34 |
| GASTROENTEROLOGY | AL | 45378 | Diagnostic examination of large bowel using an endoscope | 25 | 25 |
| GASTROENTEROLOGY | AL | 45385 | Removal of polyps or growths of large bowel using an endoscope | 81 | 80 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| - | AL | |
| Physician Assistant | AL | |
| Gastroenterology, Internal Medicine | AL | |
| Nurse Practitioner | IL | |
| - | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL |
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