CMS-1500 Box 24J / 33a • NPI
1518982198
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
49650 CHERRY HILL RD, SUITE 120, CANTON, MI, 48187-4849
✓ 9-Digit EDI 837 ZIP+4 (48187-4849)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1518982198 (MIRA AGRAWAL, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1518982198)
Medicare Beneficiaries
161
Total Billed Services
811
Distinct CPT/HCPCS Codes
39
Medicare Allowed Total
$43,431.07
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
83036 | Hemoglobin a1c level | 22 |
90480 | Admn sarscov2 vacc 1 dose | 13 |
90662 | Influenza vaccine split virus, preservative free | 29 |
91320 | Sarscv2 vac 30mcg trs-suc im | 13 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 125 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 228 |
G0008 | Administration of influenza virus vaccine | 29 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 91 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 106 | 42 |
| Alendronate Sodium Alendronate Sodium | 155 | 38 |
| Allopurinol Allopurinol | 48 | 13 |
| Alprazolam Alprazolam | 43 | 14 |
| Amlodipine Besylate Amlodipine Besylate | 314 | 98 |
| Atenolol Atenolol | 42 | 11 |
| Atorvastatin Calcium Atorvastatin Calcium | 509 | 143 |
| Azithromycin Azithromycin | 17 | 15 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1518982198 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MIRA AGRAWAL, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 49650 CHERRY HILL RD, SUITE 120, CANTON, MI, 48187-4849 |
| Practice Telephone / Fax | Tel: (734) 398-7800 |
| Administrative Mailing Address | 24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI, 48105-9484 |
| Enumeration & Last Sync | Enumerated: 2006-07-13 | CMS Record Updated: 2011-10-27 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207R00000X)
What Does Taxonomy Code 207R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MIRA AGRAWAL, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MI | License: MA062264 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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