| Vivek Kumar Agrawal, MD | |
|
105 N Bascom Ave Ste 104, San Jose, CA 95128-1811 | |
| (408) 918-0405 | |
| (408) 918-0409 |
| Full Name | Vivek Kumar Agrawal |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 24 Years |
| Location | 105 N Bascom Ave Ste 104, San Jose, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528160777 | NPI | - | NPPES |
| 1605144 | Other | PA | GATEWAY |
| 2682453 | Other | PA | HIGHMARK BLUE SHIELD |
| 300086932 | Medicaid | IN | |
| 102672800 | Medicaid | PA | |
| 765419 | Other | PA | UPMC |
| 050546300 | Medicaid | MD | |
| 195353101 | Medicaid | TX | |
| 30113205 | Other | PA | AMERIHEALTH MERCY - WMG |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indianapolis Neurosurgical Group Pc | 0941191282 | 48 |
| Entity Name | Indianapolis Neurosurgical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275580318 PECOS PAC ID: 0941191282 Enrollment ID: O20040324000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Vivek Kumar Agrawal, MD 13345 Illinois St, Carmel, IN 46032-3318 Ph: (317) 396-1300 | Vivek Kumar Agrawal, MD 105 N Bascom Ave Ste 104, San Jose, CA 95128-1811 Ph: (408) 918-0405 |
Dr. Christopher John Govea, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 2365 Quimby Rd Ste 100, San Jose, CA 95122 Phone: 669-888-0001 Fax: 669-888-0551 | |
Andrea L. Baron, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Dienhong Tran, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-6370 | |
Rajeev Lal Tandon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2410 Samaritan Dr, Suite 102, San Jose, CA 95124 Phone: 408-371-0728 Fax: 408-371-1164 | |
Dr. Niv E Decalo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-259-5000 | |
Dr. Cam Tran, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-6370 Fax: 408-885-6360 | |
Dr. Monica Anna Zaucha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 751 S Bascom Ave, Di Dept, San Jose, CA 95128 Phone: 408-885-5000 |