Active NPI 1811155245 Individual Practitioner Male Practitioner

Dr. Nimit Kumar Agarwal , MD

Internal Medicine • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nimit Agarwal, MD is a certified Internal Medicine practicing in Phoenix, AZ. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Agarwal delivers high-quality medical care to the local community at 1111 E MCDOWELL RD.

Dr. Agarwal is affiliated with Banner - University Hospital Based Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 E Mcdowell Rd

Phoenix, AZ 850062612

Telephone 6020000000

Associated Practice Facility / Clinic

🏢 Banner Imaging Associates Plc Facility NPI 1124077755

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +0.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

726 Specialists

Practicing in Phoenix, AZ (2967 Statewide)

Telehealth Adoption Rate

16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Agarwal (23 Years) 23 Yrs

Phoenix Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	191	101	$266.00	$112.92
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	62	35	$105.00	$28.95
99239 Hospital discharge day management, more than 30 minutes	55	53	$273.00	$107.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	25	$185.00	$73.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$516.00	$165.48
99497 Advance care planning, first 30 minutes	16	15	$202.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	124	61	$266.00	$115.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	50	$185.00	$76.69
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	57	35	$105.00	$29.51
99239 Hospital discharge day management, more than 30 minutes	50	49	$273.00	$110.90
99497 Advance care planning, first 30 minutes	30	26	$202.00	$73.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$516.00	$168.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	797	182	$185.00	$69.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	125	118	$516.00	$192.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	47	$266.00	$99.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$351.00	$131.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$101.00	$37.49
99497 Advance care planning, first 30 minutes	15	15	$202.00	$75.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	687	153	$185.00	$70.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	305	64	$266.00	$101.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	77	$516.00	$196.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	68	$351.00	$133.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	15	$101.00	$37.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	866	172	$185.00	$71.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	127	126	$516.00	$199.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	62	$266.00	$103.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	25	$101.00	$38.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,207	268	$182.00	$71.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	197	192	$512.00	$198.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	127	87	$263.00	$102.30
99497 Advance care planning, first 30 minutes	29	29	$199.00	$77.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$346.00	$134.62
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$257.00	$99.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	861	210	$182.00	$69.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	135	$512.00	$192.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	95	72	$263.00	$99.11
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$257.00	$96.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$346.00	$129.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	448	178	$182.00	$71.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	62	$263.00	$103.06
99239 Hospital discharge day management, more than 30 minutes	46	46	$271.00	$106.25
99217 Hospital observation care on day of discharge	39	38	$184.00	$70.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$346.00	$135.13
99225 Subsequent observation care, typically 25 minutes per day	25	19	$184.00	$70.08
99219 Hospital observation care, typically 50 minutes	16	16	$342.00	$134.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$512.00	$200.10

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036120146

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License IL 036120146

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Hospital & Practice Group Affiliations

Banner - University Hospital Based Physicians Llc

1111 E Mcdowell Rd, Phoenix, AZ 850062612

Phone: 6028392000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Adnan Habib , MD

Internal Medicine

NPI 1699088864

Doctor of Medicine (M.D.)

Chelsee Gille

Counselor

NPI 1760116396

Dr. Sarah Carstens , MD

Internal Medicine

NPI 1952506867

Doctor of Medicine (M.D.)

Dr. Jihan Jorio , MD

Internal Medicine

NPI 1952597742

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2014

Registered at 1111 E MCDOWELL RD, PHOENIX, AZ 850062612 (Tel: 6020000000)

📍

Updated Business Mailing Address June 30, 2014

Registered at PO BOX 52680, 201, PHOENIX, AZ 850722680 (Tel: 6020000000)

👤

Provider Name / Credentials Updated June 30, 2014

Recorded as NIMIT AGARWAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2014

Internal Medicine (License #036120146 in IL)

🟢

Initial NPI Registration & Enumeration June 02, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811155245

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 02, 2008

Last Update: June 30, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 52680, 201

Phoenix, AZ 850722680

Phone: 6020000000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.