Dr Sudhir K Agarwal, MD - Medicare Gastroenterology in Succasunna, NJ

Dr Sudhir K Agarwal, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Succasunna, New Jersey. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Advocare Llc and his current practice location is 15 Commerce Blvd, 202, Succasunna, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 252-5480.

Dr Sudhir K Agarwal is licensed to practice in New Jersey (license number MA 54139) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215006275.

Contact Information

Dr Sudhir K Agarwal, MD
15 Commerce Blvd, 202,
Succasunna, NJ 07876-1343
(973) 252-5480
(973) 252-5481

Map and Direction




Physician's Profile

Full NameDr Sudhir K Agarwal
GenderMale
SpecialityGastroenterology
Experience41 Years
Location15 Commerce Blvd, Succasunna, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sudhir K Agarwal graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1215006275
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 07/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9537116744
  • Enrollment ID: I20050331000104

Medical Identifiers

Medical identifiers for Dr Sudhir K Agarwal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215006275NPI-NPPES
QS013OtherNJOXFORD
0532042007OtherNJCIGNA HEALTHCARE
0467768OtherNJAETNA US HEALTHCARE
0642606MedicaidNJ
0508326001OtherNJAMERIHEALTH
467768OtherNJUNITED HEALTH CARE
2400333OtherNJGHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MA 54139 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Newton Medical CenterNewton, NJHospital
Hackettstown Medical CenterHackettstown, NJHospital
Morristown Medical CenterMorristown, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocare Llc3678562188288

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sudhir K Agarwal allows following entities to bill medicare on his behalf.
Entity NameAdvocare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770538696
PECOS PAC ID: 3678562188
Enrollment ID: O20040510001217

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sudhir K Agarwal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sudhir K Agarwal, MD
15 Commerce Blvd, Suite 202,
Succasunna, NJ 07876-1343

Ph: (973) 252-5480
Dr Sudhir K Agarwal, MD
15 Commerce Blvd, 202,
Succasunna, NJ 07876-1343

Ph: (973) 252-5480

Reviews and Comments


Internal Medicine Doctors in Succasunna, NJ

Dr. Thomas Anthony Giangrasso, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 66 Sunset Strip, Suite 207, Succasunna, NJ 07876
Phone: 973-584-1391    Fax: 973-584-7017
Dr. Mark J Rubinetti, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 20 Commerce Blvd, Suite D, Succasunna, NJ 07876
Phone: 973-927-2888    Fax: 973-927-2808
Lisa Li, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 225 Route 10 E, Suite 201, Succasunna, NJ 07876
Phone: 973-584-1405    Fax: 973-584-6889
Krithika Mullengada, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 66 Sunset Strip Ste 407, Northwest Medical Care, Llc, Succasunna, NJ 07876
Phone: 973-252-1676    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.