DR. NIRAJ KUMAR AGARWALLA (D.O.) – Anesthesiology Physician, NPI 1023374204

DR. NIRAJ KUMAR AGARWALLA (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. OS018089 (PA). The NPI Number for DR. NIRAJ KUMAR AGARWALLA (D.O.) is 1023374204

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. NIRAJ KUMAR AGARWALLA (D.O.)
NPI
1023374204
Phone
(215) 955-2370
Address
111 S 11TH ST
Enumeration Date
2 April 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
8145349000
Graduation Year
2012 (14 years ago)
PAC ID
6901107770
Group Practice PAC ID
4688860455
Professional Enrollment ID
I20170822003442
Address ID
PA159054305JO1086XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,827 ANESTHESIOLOGY in PA

Provider Addresses for DR. NIRAJ KUMAR AGARWALLA (D.O.)

  • 111 S 11TH ST

    SUITE 8280

    PHILADELPHIA, PA 191074824

    Phone: (215) 955-2370

    Fax: (215) 955-0677

    Type: Mailing

  • 111 S 11TH STREET

    SUITE 8490

    PHILADELPHIA, PA 191074824

    Phone: (215) 955-6161

    Fax: (215) 923-5507

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-09-13

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170822003442IAnesthesiologyPATBD
I20220913003272IAnesthesiologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19107)

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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: 4688860455View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. NIRAJ KUMAR AGARWALLA (D.O.)?
NPI 1023374204 is assigned to DR. NIRAJ KUMAR AGARWALLA (D.O.) under the national enumeration system.
Does this profile mean DR. NIRAJ KUMAR AGARWALLA (D.O.) is currently active?
Yes — DR. NIRAJ KUMAR AGARWALLA (D.O.) appears active in the national provider directory.
What field does DR. NIRAJ KUMAR AGARWALLA (D.O.) work in?
You can think of DR. NIRAJ KUMAR AGARWALLA (D.O.) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. NIRAJ KUMAR AGARWALLA (D.O.) practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for DR. NIRAJ KUMAR AGARWALLA (D.O.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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