DR. SANJAY K AGARWAL (MD, FCCP, FAASM) – Sleep Medicine (Internal Medicine) Physician, NPI 1477523249
Sleep Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,779 PULMONARY DISEASE in CA
Provider Addresses for DR. SANJAY K AGARWAL (MD, FCCP, FAASM)
995 MONTAGUE EXPY STE 218
MILPITAS, CA 950356885
Phone: (408) 418-0300
Fax: (408) 418-4062
Type: Mailing
201 16TH AVE E
SEATTLE, WA 981125226
Phone: (206) 326-3000
Type: Mailing
888 Swift Blvd
Richland, WA 993523514
Phone: (509) 946-4611
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($86).
Total Amount
$188
General + Research + Ownership
Payments
5
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
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: 2018-12-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20081009000229 | I | Critical Care (Intensivists) | CA | TBD |
| I20181226001248 | I | Internal Medicine | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 539 | 247 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 104 | 99 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 97 | 97 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 54 | 51 | $0 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 53 | 42 | $0 |
Insurance plans in this area (ZIP 95035)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CRITICAL CARE (INTENSIVISTS) | CA | 95806 | Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort | 22 | 21 |
| CRITICAL CARE (INTENSIVISTS) | CA | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 19 | 19 |
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