SIDDHARTHA AGRAWAL (M.D.) – Nephrology Physician, NPI 1477761963

SIDDHARTHA AGRAWAL (M.D.) is a healthcare provider. based in Fresno, California. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A102877 (CA). The NPI Number for SIDDHARTHA AGRAWAL (M.D.) is 1477761963

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SIDDHARTHA AGRAWAL (M.D.)
NPI
1477761963
Phone
(559) 515-9279
Address
6145N THESTA ST
Enumeration Date
18 May 2007
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5596254118
Graduation Year
2000 (26 years ago)
PAC ID
7214081645
Group Practice PAC ID
5496936346
Professional Enrollment ID
I20090819000245
Address ID
CA932778306VI820XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,404 NEPHROLOGY in CA

Provider Addresses for SIDDHARTHA AGRAWAL (M.D.)

  • 6145N THESTA ST

    FRESNO, CA 937105266

    Phone: (559) 515-9279

    Fax: (559) 436-8193

    Type: Mailing

  • 1646 E HERNDON AVE STE 106

    FRESNO, CA 937203380

    Phone: (559) 746-9605

    Fax: (559) 558-8183

    Type: Mailing

  • 820 S AKERS ST STE 100

    VISALIA, CA 932778306

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $2,764.

Total Amount is formed as General ($2,764) + Research ($0) + Ownership ($0) = $2,764.

Last reported payment date: 2024-09-21 • Largest payer in this snapshot: Medtronic, Inc. ($1,908).

Total Amount

$2,764

General + Research + Ownership

Payments

39

Total payment records

General Amount

$2,764

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090819000245INephrologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml2,995136$0
99214Established patient office or other outpatient visit, 30-39 minutes619224$0
93990Ultrasound of hemodialysis access281116$0
76937Ultrasonic guidance for blood vessel access265125$0
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist209106$0
View full utilization report →

Insurance plans in this area (ZIP 93710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496936346View full group profile
NameSpecialtyState
Vascular SurgeryCA

Reviews

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Frequently asked questions

Does SIDDHARTHA AGRAWAL (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SIDDHARTHA AGRAWAL (M.D.) uses 1477761963.
Can I rely on SIDDHARTHA AGRAWAL (M.D.) being an active provider?
As of the registry snapshot, SIDDHARTHA AGRAWAL (M.D.) is marked active.
What healthcare role does SIDDHARTHA AGRAWAL (M.D.) hold?
Scheduling teams often label SIDDHARTHA AGRAWAL (M.D.) under Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SIDDHARTHA AGRAWAL (M.D.) on a map?
Expect Fresno, California as a primary anchor for SIDDHARTHA AGRAWAL (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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