Ashish Agrawal, M.D.
NPI 1225136484 · Pulmonary Disease Physician · La Mesa, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ashish Agrawal, M.D. is a Pulmonary Disease Physician provider in La Mesa, CA (NPI 1225136484).
Provider details
- NPI number
- 1225136484
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A67061 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
1,068 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 354 | $80 |
| Critical Care, First 30-74 Minutes99291 | 311 | $213 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 274 | $120 |
| Irrigation and Suction of Lung Airways to Obtain Cells Using an Endoscope31624 | 33 | $125 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 31 | $118 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 27 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$87 across 3 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
- 2006-09-20
- Last updated
- 2023-03-07
- Certified
- 2022-10-07
Frequently asked questions
- What is Ashish Agrawal's NPI number?
- Ashish Agrawal's National Provider Identifier (NPI) is 1225136484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ashish Agrawal's specialty?
- Ashish Agrawal is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Ashish Agrawal located?
- Ashish Agrawal's practice location on file with NPPES is 5555 Grossmont Center Dr, La Mesa, CA 91942-3019.
- What is Ashish Agrawal's phone number?
- The practice phone number listed in the NPPES registry for Ashish Agrawal is (888) 664-8297.
- Does Ashish Agrawal accept Medicare?
- Ashish Agrawal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ashish Agrawal's NPI active?
- Yes — Ashish Agrawal's NPI (1225136484) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.