Rishi Agarwal, M.D.
NPI 1164625257 · Gastroenterology Physician · Birmingham, AL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rishi Agarwal, M.D. is a Gastroenterology Physician provider in Birmingham, AL (NPI 1164625257).
Provider details
- NPI number
- 1164625257
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29343 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,868 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 1,239 | $44 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 725 | $49 |
| Remote Monitoring of Physiologic Parameters, Initial Supply of Devices With Daily Recordings Or Programmed Alerts Transmission, Each 30 Days99454 | 167 | $40 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 154 | $44 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 142 | $57 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 882 | 332 |
| Sucralfate | 547 | 285 |
| Dicyclomine Hcl | 155 | 54 |
| Esomeprazole Magnesium | 111 | 33 |
| Peg3350/Sod Sul/Nacl/Kcl/Asb/Cbrand: Plenvu | 80 | 78 |
| Omeprazole | 74 | 22 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 65 | 64 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,850 across 87 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2015-12-09
Frequently asked questions
- What is Rishi Agarwal's NPI number?
- Rishi Agarwal's National Provider Identifier (NPI) is 1164625257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rishi Agarwal's specialty?
- Rishi Agarwal is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Rishi Agarwal located?
- Rishi Agarwal's practice location on file with NPPES is 1 Independence Plz, Birmingham, AL 35209-2629.
- What is Rishi Agarwal's phone number?
- The practice phone number listed in the NPPES registry for Rishi Agarwal is (205) 271-8000.
- Does Rishi Agarwal accept Medicare?
- Rishi Agarwal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rishi Agarwal's NPI active?
- Yes — Rishi Agarwal's NPI (1164625257) is active in the NPPES registry as of the last update on 2015-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.