SHIVUM AGARWAL (M.D.) – Family Medicine Physician, NPI 1700220738
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for SHIVUM AGARWAL (M.D.)
PO BOX 732973
DALLAS, TX 753732973
Phone: (817) 702-2450
Fax: (817) 702-8445
Type: Mailing
1500 S MAIN ST FL 4
FORT WORTH, TX 761044917
Phone: (817) 702-1215
Fax: (817) 927-6843
Type: Location
PO BOX 444
JACKSBORO, TX 764580444
Phone: (940) 217-5969
Fax: (276) 451-2754
Type: Mailing
202 SW 25TH AVE STE 800
MINERAL WELLS, TX 760678460
Phone: (940) 217-5969
Fax: (276) 451-2754
Type: Location
215 Chisholm Trl
Jacksboro, TX 764581403
Phone: (940) 217-5969
Type: Location
8194 Walnut Hill Lane, Professional 5, Suite 100
Dallas, TX 75231
Phone: (214) 891-6400
Type: Location
400 SW 25th Ave
Mineral Wells, TX 760678246
Phone: (940) 325-7891
Type: Location
1500 S Main St Fl 4
Fort Worth, TX 761044917
Phone: (817) 702-1215
Fax: (817) 927-6843
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2023-07-12 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$61
General + Research + Ownership
Payments
3
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $28 |
| Lilly USA, LLC | $17 |
| Dexcom, Inc. | $16 |
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: 2017-03-15
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 |
|---|---|---|---|---|
| I20170315001697 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 75373)
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