GAUTAM AGARWAL M.B.B.S. NPI 1912982687

NPI Information

  • NPI: 1912982687
  • Provider Name: GAUTAM AGARWAL, M.B.B.S.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1120 15TH ST
    BA-4300
    AUGUSTA, GA
    ZIP 30912
  • Phone: (706) 721-3671

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NPI Details

Gautam Agarwal, M.B.B.S. is a vascular surgery surgery in Augusta, GA with 32 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Gautam Agarwal, M.B.B.S. NPI is 1912982687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1120 15TH ST
BA-4300
AUGUSTA, GA
ZIP 30912-004
Phone: (706) 721-3671

The NPI 1912982687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 12/14/2005 and was last updated on 9/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery47831MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1640145700MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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