Sumit Agarwal, D.O.
NPI 1306262035 · Internal Medicine Physician · Whitehouse Station, NJ
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumit Agarwal, D.O. is a Internal Medicine Physician provider in Whitehouse Station, NJ (NPI 1306262035).
Provider details
- NPI number
- 1306262035
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MB10095900 (NJ)
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,596 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 581 | $101 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 416 | $17 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 274 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 144 | $46 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 93 | $86 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 96 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 315 | 106 |
| Levothyroxine Sodium | 193 | 68 |
| Rosuvastatin Calcium | 179 | 76 |
| Amlodipine Besylate | 142 | 54 |
| Tamsulosin Hcl | 137 | 38 |
| Lisinopril | 127 | 42 |
| Simvastatin | 115 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$318 across 12 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
Additional practice locations (1)
- 16411 67th AveFresh Meadows, NY 11365-1907Phone: (917) 601-4016
Registry dates
- Enumerated
- 2014-03-05
- Last updated
- 2020-02-21
- Certified
- 2020-02-21
Frequently asked questions
- What is Sumit Agarwal's NPI number?
- Sumit Agarwal's National Provider Identifier (NPI) is 1306262035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumit Agarwal's specialty?
- Sumit Agarwal is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sumit Agarwal located?
- Sumit Agarwal's practice location on file with NPPES is 537 US Highway 22 E Fl 3, Whitehouse Station, NJ 08889-3696.
- What is Sumit Agarwal's phone number?
- The practice phone number listed in the NPPES registry for Sumit Agarwal is (908) 237-4155.
- Does Sumit Agarwal accept Medicare?
- Sumit Agarwal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumit Agarwal's NPI active?
- Yes — Sumit Agarwal's NPI (1306262035) is active in the NPPES registry as of the last update on 2020-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.