PRANJAL M AGRAWAL (M.D.) – Internal Medicine Physician, NPI 1174723290

PRANJAL M AGRAWAL (M.D.) is a healthcare provider. based in Dixon, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-118796 (IL). The NPI Number for PRANJAL M AGRAWAL (M.D.) is 1174723290

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
PRANJAL M AGRAWAL (M.D.)
NPI
1174723290
Phone
(815) 285-8535
Address
102 S HENNEPIN AVE
Enumeration Date
18 July 2007
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152885531
Graduation Year
2002 (24 years ago)
PAC ID
3577655463
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20070823000247
Address ID
IL610213116DI403XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for PRANJAL M AGRAWAL (M.D.)

  • 102, South Hennepin Avenue, Dixon, Lee County, Illinois, 61021, United States

    DIXON, IL 610213013

    Phone: (815) 285-8535

    Fax: (815) 285-8922

    Type: Mailing

  • 403 E 1st St

    Dixon, IL 610213187

    Phone: (815) 285-5629

    Fax: (815) 285-5634

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $290.

Total Amount is formed as General ($290) + Research ($0) + Ownership ($0) = $290.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Novo Nordisk Inc ($130).

Total Amount

$290

General + Research + Ownership

Payments

15

Total payment records

General Amount

$290

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

Latest reported date

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: 2007-08-23

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
I20070823000247IInternal MedicineILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes194123$0
99214Established patient office or other outpatient visit, 30-39 minutes125101$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7948$0
99238Hospital discharge day management, 30 minutes or less7571$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5755$0
View full utilization report →

Insurance plans in this area (ZIP 61021)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

What is the standard ID for PRANJAL M AGRAWAL (M.D.) in the U.S.?
In the U.S., PRANJAL M AGRAWAL (M.D.) is identified by NPI 1174723290.
Quick check: is PRANJAL M AGRAWAL (M.D.) active?
Public NPPES data shows PRANJAL M AGRAWAL (M.D.) with an active NPI status right now.
What does the directory say PRANJAL M AGRAWAL (M.D.) does?
Insurance directories may phrase it differently, but here PRANJAL M AGRAWAL (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to PRANJAL M AGRAWAL (M.D.)?
PRANJAL M AGRAWAL (M.D.) shows a connection to Dixon, Illinois in registry-derived data.
Why is information missing for PRANJAL M AGRAWAL (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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